Provider Demographics
NPI:1376827808
Name:MCBRIDE, CARA ELIZABETH (LSCSW, LSCW, RPT)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ELIZABETH
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:LSCSW, LSCW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 SHAWNEE MISSION PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4031
Mailing Address - Country:US
Mailing Address - Phone:913-735-4413
Mailing Address - Fax:
Practice Address - Street 1:6811 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66202-4031
Practice Address - Country:US
Practice Address - Phone:913-735-4413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110324841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical