Healthcare Provider Details

I. General information

NPI: 1912422684
Provider Name (Legal Business Name): KATHERINE MCCALMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 MAIN ST
NORTH LITTLE ROCK AR
72114-5329
US

IV. Provider business mailing address

513 MAIN ST
NORTH LITTLE ROCK AR
72114-5329
US

V. Phone/Fax

Practice location:
  • Phone: 501-777-5969
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8530-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: