Provider Demographics
NPI:1417476664
Name:MCBRIDE, ALLYSON C (CLSW)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:C
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:CLSW
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:C
Other - Last Name:HIGGINBOTTOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:2275 DEMING WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562
Practice Address - Country:US
Practice Address - Phone:608-232-3171
Practice Address - Fax:608-262-9246
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9018-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical