Active NPI
Charles M Avena, LMSW
- Social Worker
- Jensen Beach, FL
National Provider Identifier
1740154863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 61
- Practice address
- 9433 S Ocean Dr Apt 7C
Jensen Beach, FL 34957-2378 - Phone
- (240) 575-2203
- Fax
- (240) 877-0511
- NPI assigned
- Oct 1, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 61 | CT | Primary |
Addresses
Primary practice location
9433 S Ocean Dr Apt 7C
Jensen Beach, FL 34957-2378
Mailing address
9433 S Ocean Dr Apt 7C
Jensen Beach, FL 34957-2378
Phone (772) 217-4593
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61 | CT | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1740154863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9433 S OCEAN DR APT 7C",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349572378",
"telephone_number": "772-217-4593",
"fax_number": "860-540-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9433 S OCEAN DR APT 7C",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349572378",
"telephone_number": "240-575-2203",
"fax_number": "240-877-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENA",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "61",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jensen Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.