CAROLYN N. KETCHEL, P.A.
NPI 1275877086
Social Worker - Clinical in Mary Esther, FL

Active since November 16, 2012
151 MARY ESTHER BLVD, SUITE 302, MARY ESTHER, FL 32569(850) 243-1302(850) 301-0671 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn N. Ketchel, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN N. KETCHEL, P.A. (NPI 1275877086) is a healthcare organization registered as a clinical in Mary Esther, Florida and active in the NPI registry since November 2012. The organization lists Carolyn N. Ketchel, President, as its authorized official.

NPPES Registry Identity

NPI1275877086
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCAROLYN N. KETCHEL, P.A.
Location Address151 MARY ESTHER BLVD, SUITE 302Mary Esther, FL 32569-1973
Mailing AddressPo Box 7Shalimar, FL 32579-0007 · (850) 243-1302 · Fax (850) 301-0671
Fax(850) 301-0671
Organization SubpartNo
Authorized OfficialCarolyn N. KetchelPresident · (850) 243-1302
Enumeration DateNovember 16, 2012
Last NPPES UpdateFebruary 12, 2014
NPI 1275877086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW4709
Definition
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.
151 MARY ESTHER BLVD, Mary Esther, FL 32569

Other Identifiers 1

Medicare PINGW646A

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
151 MARY ESTHER BLVD, SUITE 408
MARY ESTHER, FL 32569
Counselor (Mental Health)
151 MARY ESTHER BLVD, SUITE 507
MARY ESTHER, FL 32569
Massage Therapist
151 MARY ESTHER BLVD, STE 307A
MARY ESTHER, FL 32569
Specialist
151 MARY ESTHER BLVD, SUITE 303
MARY ESTHER, FL 32569
Counselor (Mental Health)
151 MARY ESTHER BLVD, SUITE 310-A
MARY ESTHER, FL 32569
Counselor (Mental Health)
151 MARY ESTHER BLVD, SUITE 201
MARY ESTHER, FL 32569
Massage Therapist
151 MARY ESTHER BLVD, STE 307A
MARY ESTHER, FL 32569
Psychologist (Clinical)
151 MARY ESTHER BLVD, STE 308A
MARY ESTHER, FL 32569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn N. Ketchel, P.A.'s NPI number?

The NPI number for Carolyn N. Ketchel, P.A. is 1275877086. It was assigned to this organization in the NPPES registry on November 16, 2012.

Where is Carolyn N. Ketchel, P.A. located?

Carolyn N. Ketchel, P.A. is located at 151 Mary Esther Blvd Suite 302, Mary Esther, FL 32569. The listed phone number is (850) 243-1302.

What is Carolyn N. Ketchel, P.A.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carolyn N. Ketchel, P.A. was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.