Active NPI
Mally Karunakaran Kartha
- Clinical Social Worker
- Palm Harbor, FL
National Provider Identifier
1265709216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 9875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3420A | FL | MD | Addiction (Substance Use Disorder) Counselor |
| SW 9875 | FL | MD | Clinical 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.