Individual provider Active NPI

Juanita Chenault, MSW, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1174984512
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13526 Issued in FL
Practice address
2831 Ringling Blvd Ste 110C
Sarasota, FL 34237-5351
Phone
(941) 735-7640
Fax
(941) 200-4137
NPI assigned
Mar 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13526 FL Primary

Addresses

Primary practice location

2831 Ringling Blvd Ste 110C
Sarasota, FL 34237-5351

Mailing address

8388 S Tamiami TRL Ste 187
Sarasota, FL 34238-2934
Phone (941) 735-7640

Other practice location 1

124 NW Madison St
Lake City, FL 32055-3922
Phone (941) 735-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170524000471 FL Practitioner - Clinical Social Worker 7012215460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 S Palm Ave
Unit 7
Sarasota, FL 34236-7746
Phone (941) 735-7640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13526FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Path Associates, LLC Clinical CurrentSince Mar 1, 2017 Accepting new patients

Locations

124 NW Madison St
Lake City, FL 32055
Phone (386) 209-0619

950 S Tamiami Trl
Ste 205
Sarasota, FL 34236
Phone (631) 742-1877

2831 Ringling Blvd
Bldg C
Sarasota, FL 34237
Phone (202) 345-0100

777 S Palm Ave
Unit 7
Sarasota, FL 34236
Phone (941) 735-7640

8388 S Tamiami Trl
Sarasota, FL 34238
Phone (703) 639-7328

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1174984512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8388 S TAMIAMI TRL STE 187",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382934",
            "telephone_number": "941-735-7640",
            "fax_number": "941-200-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 RINGLING BLVD STE 110C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375351",
            "telephone_number": "941-735-7640",
            "fax_number": "941-200-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 NW Madison St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320553922",
            "country_code": "US",
            "telephone_number": "941-735-7640",
            "fax_number": "941-200-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENAULT",
        "first_name": "JUANITA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.