Provider Demographics
NPI:1831688464
Name:WILSON, ADRIA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:ADRIA
Middle Name:MARIE
Last Name:WILSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ADRIA
Other - Middle Name:
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2425 HIGHWAY 41 N STE 310
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-4067
Mailing Address - Country:US
Mailing Address - Phone:812-618-2250
Mailing Address - Fax:
Practice Address - Street 1:2425 HIGHWAY 41 N STE 310
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-4067
Practice Address - Country:US
Practice Address - Phone:812-618-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical