Provider Demographics
NPI:1881985547
Name:FASHANU-LEWIS, LINDA W (LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:W
Last Name:FASHANU-LEWIS
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:WATKINS
Other - Last Name:FASHANU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:8 TIGRIS WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5679
Mailing Address - Country:US
Mailing Address - Phone:864-630-4817
Mailing Address - Fax:
Practice Address - Street 1:8 TIGRIS WAY
Practice Address - Street 2:8 TIGRIS WAY
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5679
Practice Address - Country:US
Practice Address - Phone:864-963-3421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1136104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker