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KELLY LYNN NICOLAUS LCSW
NPI 1245909365
Social Worker - Clinical in Tampa, FL

Active since September 10, 2021PECOS Enrolled
4520 OAK FAIR BLVD, TAMPA, FL 33610(813) 532-5500 Get Directions Write a Review

NPPES record last updated: February 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Lynn Nicolaus Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNN NICOLAUS LCSW (NPI 1245909365) is an individual clinical provider in Tampa, Florida, licensed in Florida (17352) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245909365
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY LYNN NICOLAUSCredential: LCSW
Location Address4520 OAK FAIR BLVDTampa, FL 33610-7356
Mailing Address4520 Oak Fair BlvdTampa, FL 33610-7356 · (814) 441-5751
Phone(813) 532-5500
Sole ProprietorNo
Enumeration DateSeptember 10, 2021
Last NPPES UpdateFebruary 4, 2024
NPPES CertifiedFebruary 4, 2024
✔ NPI 1245909365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · 17352
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4520 OAK FAIR BLVD, Tampa, FL 33610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lynn Nicolaus Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONIQUE CHEVEL BELL MSW
Social Worker (Clinical)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
SIERRA A SHANNON
Counselor (Mental Health)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
ASPIRE HEALTH PARTNERS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
MR. MATTHEW A FULTZ
Counselor (Mental Health)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
MALISSA EGAN
Social Worker (Clinical)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
TAYLOR L O'ROURKE
Counselor (Mental Health)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
DELANIE RUGGLES BSW
Social Worker (Clinical)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500
BETTY MARIE COBB LCSW
Social Worker (Clinical)
4520 OAK FAIR BLVD
TAMPA, FL 33610
Hillsborough County (813) 542-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Nicolaus's NPI number?

The NPI number for Kelly Nicolaus is 1245909365. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Kelly Nicolaus located?

Kelly Nicolaus practices at 4520 Oak Fair Blvd, Tampa, FL 33610. The listed phone number is (813) 532-5500.

What is Kelly Nicolaus's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Nicolaus enrolled in Medicare?

Yes. Kelly Nicolaus is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Nicolaus accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kelly Nicolaus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Nicolaus was last updated on February 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.