CAROLYN N. KETCHEL, P.A. (NPI# 1275877086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275877086 |
| Entity Type | Organization |
| Organization Name | CAROLYN N. KETCHEL, P.A. |
| Practice Address |
151 Mary Esther Blvd Suite 302 Mary Esther FL 32569-1973 |
| Mailing Address |
Po Box 7 Shalimar FL 32579-0007 |
| Practice Telephone | 8502431302 |
| Practice Fax Number | 8503010671 |
| Mailing Telephone | 8502431302 |
| Mailing Fax Number | 8503010671 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | CAROLYN N. KETCHEL (PRESIDENT) |
| Authorized Official Telephone | 8502431302 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW4709 | FL | Behavioral Health & Social Service Providers |
| Street Address |
151 MARY ESTHER BLVD SUITE 302 |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335570 | Julie Harper | Psychologist | 151 Mary Esther Blvd, Ste 308a, Mary Esther, FL 32569-1972 | 2006-02-15 |
| 1093267825 | Nightingale Health Care LLC | Nurse Practitioner | 151 Mary Esther Blvd, Suite 408, Mary Esther, FL 32569-1972 | 2016-10-27 |
| 1659745107 | Psycare, LLC | Social Worker | 151 Mary Esther Blvd, Suite 307-a, Mary Esther, FL 32569-1972 | 2015-11-20 |
| 1134537301 | Martha Lawson Van Dam | Counselor | 151 Mary Esther Blvd, Suite 507, Mary Esther, FL 32569-1972 | 2014-07-31 |
| 1871909374 | Lynda E Bolt, Lmhc, Pa | Counselor | 151 Mary Esther Blvd, Suite 302, Mary Esther, FL 32569-1972 | 2014-07-03 |
| 1982025300 | Carlise Cherilyn Mclaughlin | Social Worker | 151 Mary Esther Blvd, Suite 310a, Mary Esther, FL 32569-1972 | 2014-01-02 |
| 1730515602 | K. Douglas Bowers | Dentist | 151 Mary Esther Blvd, Suite 402, Mary Esther, FL 32569-1972 | 2013-09-23 |
| 1972872216 | Carolyn N Ketchel | Social Worker | 151 Mary Esther Blvd, Suite 302, Mary Esther, FL 32569-1972 | 2011-12-15 |
| 1710276431 | Allison Vinson Counseling Services, LLC | Psychiatric Unit | 151 Mary Esther Blvd, Suite 308a, Mary Esther, FL 32569-1972 | 2011-04-04 |
| 1295037729 | Stepping Stones Professional Counseling, Inc. | Counselor | 151 Mary Esther Blvd, Suite 310-a, Mary Esther, FL 32569-1974 | 2010-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| Find all providers in zip 32569 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003068578 | Madeline C Guarino | Social Worker | 425 E Hollywood Blvd, Suite C-4, Mary Esther, FL 32569-2059 | 2008-10-16 |
| 1306976469 | Allison E. Vinson | Social Worker | 151 Mary Esther Blvd Ste 308a, Mary Esther, FL 32569-1974 | 2007-03-07 |
| 1073617155 | Cope Center, Inc | Social Worker | 103 Pinehaven Dr, Mary Esther, FL 32569-3323 | 2006-09-11 |
| 1659745107 | Psycare, LLC | Social Worker | 151 Mary Esther Blvd, Suite 307-a, Mary Esther, FL 32569-1972 | 2015-11-20 |
| 1982025300 | Carlise Cherilyn Mclaughlin | Social Worker | 151 Mary Esther Blvd, Suite 310a, Mary Esther, FL 32569-1972 | 2014-01-02 |
| 1972872216 | Carolyn N Ketchel | Social Worker | 151 Mary Esther Blvd, Suite 302, Mary Esther, FL 32569-1972 | 2011-12-15 |
| 1811006448 | Anne Waguespack Berteau | Social Worker | 124 E Miracle Strip Pkwy, Suite 602, Mary Esther, FL 32569-1988 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679303 | Kamarie Lee Larson | Social Worker | 913 Gulf Breeze Pkwy Ste 26b, Gulf Breeze, FL 32561-4731 | 2020-11-08 |
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1356942262 | Shirley Roseman | Social Worker | 1450 E Sample Rd Apt 101, Pompano Beach, FL 33064-6267 | 2020-11-06 |
| 1760083729 | Phoenix Marie Klemann | Social Worker | 3311 Mona Dr, Navarre, FL 32566-9742 | 2020-11-05 |
| 1679174726 | Violett Counseling & Consulting Services LLC | Social Worker | 30 Wisteria Dr, Ormond Beach, FL 32176-2408 | 2020-11-05 |
| 1336740422 | Marissa Pinto | Social Worker | 3642 Eldron Ave, North Port, FL 34286-7453 | 2020-11-04 |
| 1710588991 | Mario Jesus Noguera | Social Worker | 18179 Nw 73rd Ave, Hialeah, FL 33015-6198 | 2020-11-04 |
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1902407299 | Beverly Diane Sweeting | Social Worker | 10961 Sw Ivory Springs Ln, Port St Lucie, FL 34987-7710 | 2020-11-04 |
| 1174124622 | Cardinal Counseling Services, LLC | Social Worker | 2161 16th Ave Sw, Naples, FL 34117-4338 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.