Provider Demographics
NPI:1447272513
Name:LEWIS-NASH, ANNE MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:LEWIS-NASH
Suffix:
Gender:F
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:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31402-0303
Mailing Address - Country:US
Mailing Address - Phone:912-944-8447
Mailing Address - Fax:844-748-0844
Practice Address - Street 1:16 SUNDEW RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2955
Practice Address - Country:US
Practice Address - Phone:912-944-8447
Practice Address - Fax:844-748-0844
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC102331041C0700X
TNLSW00000052641041C0700X
OHI-00076451041C0700X
GACSW0048351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000116870OtherANTHEM ID
OH11567450OtherCAQH ID
GA20270G1500Medicare PIN