Provider Demographics
NPI:1659573822
Name:MCBRIDE, KARIN SEAL (LBSW)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:SEAL
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9315 PRESTON PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-6925
Mailing Address - Country:US
Mailing Address - Phone:334-272-2501
Mailing Address - Fax:
Practice Address - Street 1:2511 FAIRLANE DR
Practice Address - Street 2:SUITE C-100
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1649
Practice Address - Country:US
Practice Address - Phone:334-215-0334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0150B1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical