Provider Demographics
NPI:1639402324
Name:KARAMCHETI, SHANTHI RATHNA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SHANTHI
Middle Name:RATHNA
Last Name:KARAMCHETI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 WAVERLEY ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3536
Mailing Address - Country:US
Mailing Address - Phone:650-841-0223
Mailing Address - Fax:
Practice Address - Street 1:3506 WAVERLEY ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3536
Practice Address - Country:US
Practice Address - Phone:650-841-0223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29884104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker