Individual provider Active NPI

Terrence James McBride, M.S.W., PSY.D.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1780809939
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 4173 Issued in CA
Practice address
1800 Fairburn Ave Ste 200
Los Angeles, CA 90025-4968
Phone
(310) 208-7274
Fax
(323) 851-8636
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 4173 CA Primary

Addresses

Primary practice location

1800 Fairburn Ave Ste 200
Los Angeles, CA 90025-4968

Mailing address

1800 Fairburn Ave Ste 200
Los Angeles, CA 90025-4968
Phone (310) 208-7274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100610001034 CA Practitioner - Clinical Social Worker 5496885873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Fairburn Ave
Suite 200
Los Angeles, CA 90025-4968
Phone (310) 208-7274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 4173CAMDClinical Social Worker

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1780809939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FAIRBURN AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254968",
            "telephone_number": "310-208-7274",
            "fax_number": "323-874-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FAIRBURN AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254968",
            "telephone_number": "310-208-7274",
            "fax_number": "323-851-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "TERRENCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.S.W., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 4173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.