MEDICARE: DR. SHEVRON F MCBRIDE DSW, MBA, ACJA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	1041C0700X	Clinical Social Worker	CO
2	1041C0700X	Clinical Social Worker	IL
3	1041C0700X	Clinical Social Worker	IN
4	1041C0700X	Clinical Social Worker	MS
5	1041C0700X	Clinical Social Worker	FL
6	1041C0700X	Clinical Social Worker	KS
7	1041C0700X	Clinical Social Worker	WA
8	1041C0700X	Clinical Social Worker	ID
9	1041C0700X	Clinical Social Worker	TN
10	1041C0700X	Clinical Social Worker	GA
11	1041C0700X	Clinical Social Worker	DC
12	1041C0700X	Clinical Social Worker	DE
13	1041C0700X	Clinical Social Worker	LA
14	1041C0700X	Clinical Social Worker	AZ
15	1041C0700X	Clinical Social Worker	IA

General Provider Information

NPI Number	:	1154196772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEVRON F MCBRIDE DSW, MBA, ACJA

Provider Business Mailing Address
First Line	:	7342 OVERLAND PARK BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-4226
Country	:	US
Telephone Number	:	324-201-6681
Fax Number	:

Provider Business Practice Location Address
First Line	:	7342 OVERLAND PARK BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-4226
Country	:	US
Telephone Number	:	201-324-6681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2023
Last Update Date	:	03/03/2026

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