Provider Demographics
NPI:1801847934
Name:HANCOCK, CHRIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 CRESTMOOR RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2654
Mailing Address - Country:US
Mailing Address - Phone:615-915-3892
Mailing Address - Fax:615-915-3967
Practice Address - Street 1:2120 CRESTMOOR RD
Practice Address - Street 2:SUITE 3016
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2654
Practice Address - Country:US
Practice Address - Phone:615-915-3892
Practice Address - Fax:615-915-3967
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical