CAROLYN N. KETCHEL, P.A. — NPI 1275877086 (Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical in MARY ESTHER, FL)

CMS-1500 Box 24J / 33a • NPI

1275877086

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

151 MARY ESTHER BLVD, SUITE 302, MARY ESTHER, FL, 32569-1973

✓ 9-Digit EDI 837 ZIP+4 (32569-1973)

Practice Phone & Referral Fax

(850) 243-1302

Fax: (850) 301-0671

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1275877086 (CAROLYN N. KETCHEL, P.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1275877086` (NPI-2 Organization / Facility)
Provider / Legal Name	CAROLYN N. KETCHEL, P.A.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	151 MARY ESTHER BLVD, SUITE 302, MARY ESTHER, FL, 32569-1973
Practice Telephone / Fax	Tel: (850) 243-1302 \| Fax: (850) 301-0671
Administrative Mailing Address	PO BOX 7, SHALIMAR, FL, 32579-0007
Enumeration & Last Sync	Enumerated: 2012-11-16 \| CMS Record Updated: 2014-02-12
Authorized Official	CAROLYN KETCHEL (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

151 MARY ESTHER BLVD, SUITE 302, MARY ESTHER, FL, 32569-1973

🗺️ Open in Google Maps 🏥 More Providers in MARY ESTHER

🔒 Are you CAROLYN N. KETCHEL, P.A.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAROLYN N. KETCHEL, P.A.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: FL \| License: `SW4709` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

CAROLYN N. KETCHEL, P.A. (NPI #1275877086)