MEDICARE: EVREN NYX WILSON LSW

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	33012545A	IN

General Provider Information

NPI Number	:	1588483879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVREN NYX WILSON LSW

Provider Business Mailing Address
First Line	:	700 N ALABAMA ST APT 1612
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1358
Country	:	US
Telephone Number	:	812-709-9014
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 N ALABAMA ST APT 1612
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1358
Country	:	US
Telephone Number	:	812-709-9014
Fax Number	:

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

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	10/04/2024

Similar Medicare Providers

1770877565 — DR. MRIDULA KONERU PHARMD
Practice Location Address:

7549 W MORRIS ST
INDIANAPOLIS, IN
46231-1358

Practice Phone: 317-340-7188
Practice Fax: 317-248-5518

1144612482 — GENE WILLIAMSON COO
Practice Location Address:

2105 N. MERIDIAN ST. , SUITE 102
INDIANAPOLIS, IN
46202-1358

Practice Phone: 317-926-5463
Practice Fax: 317-926-5498

1891266821 — MR. ERIC A MOSS CADAC II, MATS
Practice Location Address:

2105 N MERIDIAN ST STE 102
INDIANAPOLIS, IN
46202-1358

Practice Phone: 317-926-5463
Practice Fax: 317-926-5498

1649744210 — HEIDI KATE O'NEAL
Practice Location Address:

2105 N MERIDIAN ST STE 102
INDIANAPOLIS, IN
46202-1358

Practice Phone: 317-926-5463
Practice Fax:

1134729981 — MR. MARK ALAN HOSTETLER LMHC, LCAC
Practice Location Address:

2105 N MERIDIAN ST STE 102
INDIANAPOLIS, IN
46202-1358

Practice Phone: 317-926-5463
Practice Fax:

1528929270 — RACHEL K EHRINGER LCSW
Practice Location Address:

950 N MERIDIAN ST STE 910
INDIANAPOLIS, IN
46204-1077

Practice Phone: 317-963-2250
Practice Fax: --

Directions to “ EVREN NYX WILSON LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.