Darryl X McAllister, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C00269 Issued in NC

Practice address

3581 Lackey St
Lumberton, NC 28360-9048

Phone

(910) 738-1587

Fax

(910) 738-1581

NPI assigned

Oct 16, 2007

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Regional Mental Health Center

  dba Arbor CAS

  • Counselor
  • Lumberton, NC
  • NPI 1689809782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1720277767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283591004",
            "telephone_number": "910-738-1587",
            "fax_number": "910-738-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 LACKEY ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609048",
            "telephone_number": "910-738-1587",
            "fax_number": "910-738-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "DARRYL",
        "middle_name": "X",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-1610",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C00269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "55400",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002928",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002598",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Leah Matteson, MS, RDN, LDN, CDE
• Austin Paul Matthews, D.P.M.
• Martha Evers Mauldin, M.ED.,CCC-SLP
• Audrey Richter Mayers, MA ED, LCMHC, NCC
• Jayne Patrice Maynor, M.D.
• Yolanda McAllister, LCASA
• Dontay Shawmonick McArn, LCMHC
• Jayme Emil McArthur-Herder, MD
• Mack Ira McClain, M.D.
• Charnelle McClellan, MA. CCC-SLP

• Clinical Social Worker in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.