Provider Demographics
NPI:1689408098
Name:DAY, MADISON R (LMSW)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:R
Last Name:DAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-5531
Mailing Address - Country:US
Mailing Address - Phone:918-587-1200
Mailing Address - Fax:918-712-7399
Practice Address - Street 1:2502 E 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5531
Practice Address - Country:US
Practice Address - Phone:918-587-1200
Practice Address - Fax:918-712-7399
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20962104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker