Provider Demographics
NPI:1669707980
Name:MCALISTER, EVA ELISABETH (LICSW)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:ELISABETH
Last Name:MCALISTER
Suffix:
Gender:F
Credentials:LICSW
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 59329
Mailing Address - Street 2:MN045-5210
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55459-9784
Mailing Address - Country:US
Mailing Address - Phone:952-836-6925
Mailing Address - Fax:
Practice Address - Street 1:4300 MARKET POINTE DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:800-549-6549
Practice Address - Fax:952-769-1390
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-04
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN177681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical