Individual provider Active NPI

Mally Karunakaran Kartha

  • Clinical Social Worker
  • Palm Harbor, FL
National Provider Identifier
1265709216
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9875 Issued in FL
Practice address
2311 Alt 19
Suite 1
Palm Harbor, FL 34683-2631
Phone
(727) 254-9183
Fax
(888) 345-7010
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3420A FL
Clinical Social Worker 1041C0700X SW 9875 FL Primary

Addresses

Primary practice location

2311 Alt 19
Suite 1
Palm Harbor, FL 34683-2631

Mailing address

8630 Tidal Bay LN
Tampa, FL 33635-6284
Phone (813) 813-1801

Other names 1

  • Ms. Sethulakshmi Karunakaran Kartha Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3420AFLMDAddiction (Substance Use Disorder) Counselor
SW 9875FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1265709216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 TIDAL BAY LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356284",
            "telephone_number": "813-813-1801",
            "fax_number": "888-345-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ALT 19",
            "address_2": "SUITE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832631",
            "telephone_number": "727-254-9183",
            "fax_number": "888-345-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTHA",
        "first_name": "MALLY",
        "middle_name": "KARUNAKARAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "3420A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SETHULAKSHMI",
            "last_name": "KARTHA",
            "middle_name": "KARUNAKARAN",
            "prefix": "MS.",
            "credential": "MSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.