Active NPI
Jennifer Lingner Avenia, LCSW
- Clinical Social Worker
- Farmington, CT
National Provider Identifier
1659317535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004344
- Practice address
- 270 Farmington Ave
Suite 309
Farmington, CT 06032-1909 - Phone
- (860) 677-5570
- Fax
- (860) 677-9570
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004344 | CT | Primary |
Addresses
Primary practice location
270 Farmington Ave
Suite 309
Farmington, CT 06032-1909
Mailing address
25 Mountain View Ave
Avon, CT 06001-3811
Phone (860) 677-7273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004344 | CT | MD | Clinical Social Worker |
| 4344 | CT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1659317535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MOUNTAIN VIEW AVE",
"city": "AVON",
"state": "CT",
"postal_code": "060013811",
"telephone_number": "860-677-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE",
"address_2": "SUITE 309",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321909",
"telephone_number": "860-677-5570",
"fax_number": "860-677-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENIA",
"first_name": "JENNIFER",
"middle_name": "LINGNER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.