Provider Demographics
NPI:1881940922
Name:MCALLISTER, JENNIFER K (LMSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:K
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2450 DELHI COMMERCE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-2193
Mailing Address - Country:US
Mailing Address - Phone:517-285-0083
Mailing Address - Fax:855-258-2628
Practice Address - Street 1:2450 DELHI COMMERCE DR STE 5
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-2193
Practice Address - Country:US
Practice Address - Phone:517-258-0083
Practice Address - Fax:855-258-2628
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801094653104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker