Provider Demographics
NPI:1043405806
Name:JOHNSTON, KARIE MALONEY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:MALONEY
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KARIE
Other - Middle Name:JEAN
Other - Last Name:MALONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:101 HICKORY TREE RD
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-2707
Mailing Address - Country:US
Mailing Address - Phone:407-252-5910
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4399
Practice Address - Country:US
Practice Address - Phone:407-900-5092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW71131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical