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

Mr. Gary Lee Nichols, LCSW

Individual provider Clinical Social Worker · NPI 1477580132

Mr. Gary Lee Nichols, LCSW is a Clinical Social Worker in Tampa, Florida. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
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

3250 Zemke Ave
Tampa, FL 33621-5023
Phone: (813) 827-9170
Fax: (813) 828-6868
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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 991083 (CO)

Record details

NPI number1477580132
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESApril 20, 2018

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