Individual provider Active NPI

Laurie E McBride, LCSW

  • Social Worker
  • St George, UT
National Provider Identifier
1326348376
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5360086-3503 Issued in UT
Practice address
32 E 100 S Ste 202
St George, UT 84770-3495
Phone
(435) 222-9022
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5360086-3503 UT Primary

Addresses

Primary practice location

32 E 100 S Ste 202
St George, UT 84770-3495

Mailing address

32 E 100 S Ste 202
St George, UT 84770-3495
Phone (435) 222-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425002148 UT Practitioner - Clinical Social Worker 8123382231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 E 100
Suite 202
St George, UT 84770-3495
Phone (435) 229-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5360086-3503UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Light Counseling LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

32 E 100 S
Ste 202
St George, UT 84770
Phone (435) 222-9022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1326348376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E 100 S STE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703495",
            "telephone_number": "435-222-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E 100 S STE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703495",
            "telephone_number": "435-222-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "LAURIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "5360086-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.