Provider Demographics
NPI:1346664968
Name:MCALLISTER, KRISTEN E (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:E
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:E
Other - Last Name:TOBEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 251420
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72225-1420
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:105 N MILL AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-4273
Practice Address - Country:US
Practice Address - Phone:479-332-0800
Practice Address - Fax:479-332-0801
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX539281041C0700X
AR8495-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical