Organization Active NPI

Pellechoud Enterprises

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1922411545
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0003828 Issued in FL
Legal business name
PELLECHOUD ENTERPRISES
Practice address
2750 Bahia Vista St
Suite 103
Sarasota, FL 34239-2600
Phone
(941) 951-1500
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Linda EricksonNPI 1821083643
Title
President
Phone
(941) 951-1500

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW0003828 FL Primary

Addresses

Primary practice location

2750 Bahia Vista St
Suite 103
Sarasota, FL 34239-2600

Mailing address

2750 Bahia Vista St
Suite 103
Sarasota, FL 34239-2600

National Provider Directory

National Provider Directory

Locations

2750 Bahia Vista St
Ste 103
Sarasota, FL 34239
Phone (813) 954-0869

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": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1922411545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392600",
            "telephone_number": "941-951-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLECHOUD ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-951-1500"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0003828",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.