Charles Avery, LICSW
Individual provider Active NPI Clinical Social Worker · Washington, DC
NPI 1174764427 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1174764427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC300357 (DC)
- Practice address
- 2570 Sherman Ave NW
Washington, DC 20001-2299 - Phone
- (202) 232-6100
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC300357 | DC | Yes |
Addresses
Primary practice location
2570 Sherman Ave NW
Washington, DC 20001-2299
Mailing address
46899 Antioch PL
Sterling, VA 20164-8651
Other providers in Washington, DC
- Gail Elaine Avent
- Patrick W Avent
- Aveon Services
- Avery Healthcare Associates,P.C.
- Katrina Alice Avery-Rogers
- Charnita Alice Avery
- Devon Avery
- Diedra Avery
- Joy Rebekah Avery
- William Avery
All providers in Washington, DC · Clinical Social Worker in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.