Individual provider Active NPI

Charmeen Andrea Penn, MSW, LCSW

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1841806080
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016453 Issued in NC
Practice address
2409 Grace Ave
New Bern, NC 28562-4445
Phone
(252) 368-6161
NPI assigned
Sep 22, 2020
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C016453 NC
Clinical Social Worker 1041C0700X C016453 NC Primary

Addresses

Primary practice location

2409 Grace Ave
New Bern, NC 28562-4445

Mailing address

2409 Grace Ave
New Bern, NC 28562-4445
Phone (252) 342-5486

Other names 1

  • Char Penn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303003234 NC Practitioner - Clinical Social Worker 5395266613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C016453NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Mental Health CurrentSince Oct 24, 2023 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Pride in North Carolina, LLC Mental Health CurrentSince Oct 24, 2023 Accepting new patients
Ocean's Crest Counseling Center, PLLC Mental Health Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1400 W Church St
Elizabeth City, NC 27909
Phone (252) 231-0322

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740

3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3345

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1841806080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 GRACE AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624445",
            "telephone_number": "252-342-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 GRACE AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624445",
            "telephone_number": "252-368-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "CHARMEEN",
        "middle_name": "ANDREA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C016453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAR",
            "last_name": "PENN",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.