Provider Demographics
NPI:1881105435
Name:MCALLISTER, KRISTIN (LISW-S)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 TAYLOR PARK DR # 1109
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8052
Mailing Address - Country:US
Mailing Address - Phone:614-595-2077
Mailing Address - Fax:949-543-2708
Practice Address - Street 1:2321 TAYLOR PARK DR # 1109
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8052
Practice Address - Country:US
Practice Address - Phone:614-595-2077
Practice Address - Fax:949-543-2708
Is Sole Proprietor?:No
Enumeration Date:2017-10-22
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1901856-SUPV104100000X
OHS.11010921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical