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Contact Information

AMY EVANS
629 INGLE ST
EVANSVILLE, IN47708-1345
 Phone: 812-602-4022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AMY EVANS · (Female)

NPI # 1952966046
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN Medicaid 201403210A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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