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NPI Code Detail

MEDICARE: ELIZABETH MCBRIDE LCSW

MEDICARE:   ELIZABETH  MCBRIDE  LCSW
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34009803AIN

General Provider Information

NPI Number : 1689436230
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MCBRIDE LCSW
Provider Business Mailing Address
First Line : 7707 PRAIRIE VIEW DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3497
Country : US
Telephone Number : 260-579-0227
Fax Number :
Provider Business Practice Location Address
First Line : 2920 N ARLINGTON AVE STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3362
Country : US
Telephone Number : 317-355-9312
Fax Number : 317-355-9319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 01/29/2024

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Directions to “ ELIZABETH MCBRIDE LCSW” Practice Location

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