Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Lynn Nicolaus, LCSW

Individual provider Clinical Social Worker · NPI 1245909365

Kelly Lynn Nicolaus, LCSW is a Clinical Social Worker in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4520 Oak Fair Blvd
Tampa, FL 33610-7356
Phone: (813) 532-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 17352 (FL)

Record details

NPI number1245909365
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESFebruary 4, 2024
Certification dateFebruary 4, 2024

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