Provider Demographics
NPI:1144229576
Name:MCALISTER, LINDA SUSAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUSAN
Last Name:MCALISTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OAKMONT CIR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4962
Mailing Address - Country:US
Mailing Address - Phone:252-634-3459
Mailing Address - Fax:252-636-0200
Practice Address - Street 1:1912A TRENT BLVD
Practice Address - Street 2:OFFICE 3
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4500
Practice Address - Country:US
Practice Address - Phone:252-636-0200
Practice Address - Fax:252-636-0200
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0033391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130C8OtherBCBS OF NC PROVIDER NUMBE
NC6002275Medicaid
NC564704OtherTRICARE PROVIDER NUMBER
NC130C8OtherBCBS OF NC PROVIDER NUMBE