Provider Demographics
NPI:1770833980
Name:MCBRIDE, ANN LUNSFORD (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LUNSFORD
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6853 FAIRVIEW ROAD SUITE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:29732
Mailing Address - Country:US
Mailing Address - Phone:803-328-9300
Mailing Address - Fax:803-328-0102
Practice Address - Street 1:101 SEDGEWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732
Practice Address - Country:US
Practice Address - Phone:803-328-9300
Practice Address - Fax:803-328-0102
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C0101691041C0700X
SC109281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical