Organization Active NPI

Integral Path Associates, LLC

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1679926307
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13526 Issued in FL
Legal business name
INTEGRAL PATH ASSOCIATES, LLC
Practice address
2831 Ringling Blvd Ste C110B
Sarasota, FL 34237-5334
Phone
(941) 735-7640
Fax
(941) 200-4137
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Juanita Chenault, MSW, LCSWNPI 1174984512
Title
Owner
Phone
(941) 735-7640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW13526 FL Primary

Addresses

Primary practice location

2831 Ringling Blvd Ste C110B
Sarasota, FL 34237-5334

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

Other identifiers 1

IdentifierTypeStateIssuer
1174984512OtherFLNPI ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170419002396 FL Part B Supplier - Clinic/Group Practice 0840576229 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

2831 Ringling Blvd
Ste C110B
Sarasota, FL 34237
Phone (941) 735-7640

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

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1679926307",
    "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 C110B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375334",
            "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": {
        "organization_name": "INTEGRAL PATH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CHENAULT",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-735-7640",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ID",
            "identifier": "1174984512",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.