Provider Demographics
NPI:1659719672
Name:HODGES, ERYN ATIYA (LCSW)
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:ATIYA
Last Name:HODGES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERYN
Other - Middle Name:ATIYA
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 148704
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-8704
Mailing Address - Country:US
Mailing Address - Phone:615-582-1954
Mailing Address - Fax:
Practice Address - Street 1:501B LIGON DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2839
Practice Address - Country:US
Practice Address - Phone:615-582-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5817104100000X
FLSW11109104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1532511Medicaid
TN103801849Medicare Oscar/Certification