Provider Demographics
NPI:1790894756
Name:MCALLISTER, DARNEAL M (ACSW LMSW)
Entity Type:Individual
Prefix:MS
First Name:DARNEAL
Middle Name:M
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:ACSW LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-0010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:916 WASHINGTON AVE STE 205
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5721
Practice Address - Country:US
Practice Address - Phone:989-755-0316
Practice Address - Fax:989-755-0956
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010683191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI01010228OtherHEALTH PLUS OF MICHIGAN
MI1020767OtherMCLAREN HEALTH PLAN
MI800G311640OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI572488OtherVALUE OPTIONS
MI572488OtherVALUE OPTIONS