Provider Demographics
NPI:1992134613
Name:SUTTER, KARA DANIELS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:DANIELS
Last Name:SUTTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:LYNN
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:421 LITHIA PINECREST RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6138
Mailing Address - Country:US
Mailing Address - Phone:813-315-8648
Mailing Address - Fax:813-438-8973
Practice Address - Street 1:421 LITHIA PINECREST RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6138
Practice Address - Country:US
Practice Address - Phone:813-315-8648
Practice Address - Fax:813-438-8973
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 107121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical