Provider Demographics
NPI:1922862994
Name:MCBRIDE, ERICA SHANELL (MSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:SHANELL
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4218 N GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63107-1806
Mailing Address - Country:US
Mailing Address - Phone:314-534-6624
Mailing Address - Fax:
Practice Address - Street 1:4218 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107-1806
Practice Address - Country:US
Practice Address - Phone:314-400-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker