MEDICARE: CORINNE YANDELL LEWIS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	9614	TN
2	1041C0700X	Clinical Social Worker	6846	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821410044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE YANDELL LEWIS LCSW

Provider Business Mailing Address
First Line	:	1251 HIGHLAND DR
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37405-2300
Country	:	US
Telephone Number	:	423-402-0590
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 DAYTON BLVD STE 101
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-6415
Country	:	US
Telephone Number	:	423-402-0590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	12/18/2025

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