Active NPI
Runaway, Inc
- Social Worker
- Jacksonville, FL
National Provider Identifier
1912814955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- RUNAWAY, INC
- Practice address
- 12033 Cobblestone Forest Cir N
Jacksonville, FL 32225-5731 - Phone
- (904) 200-2096
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Analia Pena
- Title
- Owner
- Phone
- (904) 200-2096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
12033 Cobblestone Forest Cir N
Jacksonville, FL 32225-5731
Mailing address
12033 Cobblestone Forest Cir N
Jacksonville, FL 32225-5731
Phone (904) 200-2096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1912814955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12033 COBBLESTONE FOREST CIR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255731",
"telephone_number": "904-200-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12033 COBBLESTONE FOREST CIR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255731",
"telephone_number": "904-200-2096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUNAWAY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "ANALIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-200-2096"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.