Trillium Abyss, MSW, LCSW
Social Worker, Clinical in Indianapolis, IN. Individual provider (NPI-1).
NPI number1760249890
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1760249890
- Entity type
- Individual (NPI-1)
- Name
- Trillium Abyss
- Credential
- MSW, LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 10, 2026
- Last updated
- Mar 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 33011782A | IN | Yes |
Practice location
429 E Vermont St Ste 7Indianapolis, IN 46202-3688
Phone 317-300-6824
Mailing address
2405 Iroquois TrlLafayette, IN 47909-2724
Phone 317-300-6824
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