Healthcare Provider Details

I. General information

NPI: 1821410044
Provider Name (Legal Business Name): CORINNE YANDELL LEWIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 DAYTON BLVD STE 101
CHATTANOOGA TN
37415-6415
US

IV. Provider business mailing address

1251 HIGHLAND DR
CHATTANOOGA TN
37405-2300
US

V. Phone/Fax

Practice location:
  • Phone: 423-402-0590
  • Fax:
Mailing address:
  • Phone: 423-402-0590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9614
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6846
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: