Provider Demographics
NPI:1235462680
Name:LEWIS, TRISHA C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:C
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TRISHA
Other - Middle Name:SARAH
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:401 BOWLING AVE UNIT 76
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5142
Mailing Address - Country:US
Mailing Address - Phone:608-469-3914
Mailing Address - Fax:
Practice Address - Street 1:401 BOWLING AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2533
Practice Address - Country:US
Practice Address - Phone:608-469-3914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490146581041C0700X
TN69341041C0700X
1041C0700X
CT0079641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6176503OtherBLUE CROSS BLUE SHIELD TN