Provider Demographics
NPI:1568777258
Name:MCBRIDE, CHRISTINA MARIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 CAGUA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3221
Mailing Address - Country:US
Mailing Address - Phone:505-280-1037
Mailing Address - Fax:
Practice Address - Street 1:2821 CAGUA DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3221
Practice Address - Country:US
Practice Address - Phone:505-280-1037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM04599104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker