Provider Demographics
NPI:1083893945
Name:MARTIN, ALLISON MCADOW (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MCADOW
Last Name:MARTIN
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 1:1115 EDINGBURGH DR
Mailing Address - Street 2:
Mailing Address - City:MABELVALE
Mailing Address - State:AR
Mailing Address - Zip Code:72103-8798
Mailing Address - Country:US
Mailing Address - Phone:501-454-9697
Mailing Address - Fax:
Practice Address - Street 1:1115 EDINGBURGH DR
Practice Address - Street 2:
Practice Address - City:MABELVALE
Practice Address - State:AR
Practice Address - Zip Code:72103-8798
Practice Address - Country:US
Practice Address - Phone:501-454-9697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4822-C1041C0700X
AR2264-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical