OrganizationActive
Carolyn N. Ketchel, P.A.
NPI 1275877086 · Clinical Social Worker · Mary Esther, FL
Provider details
- NPI number
- 1275877086
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Carolyn Ketchel, President(850) 243-1302
- License
- SW4709 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151 Mary Esther Blvd
Suite 302
Mary Esther, FL 32569-1973
Phone: (850) 243-1302
Fax: (850) 301-0671
Street-level locationGet directions
Mailing address
Po Box 7
Shalimar, FL 32579-0007
Registry dates
- Enumerated
- 2012-11-16
- Last updated
- 2014-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.