MR. GARY LEE NICHOLS LCSW
NPI 1477580132
Social Worker - Clinical in Tampa, FL

Active since June 27, 2006
3250 ZEMKE AVE, TAMPA, FL 33621(813) 827-9170(813) 828-6868 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gary Lee Nichols Lcsw NPPES

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

MR. GARY LEE NICHOLS LCSW (NPI 1477580132) is an individual clinical provider in Tampa, Florida, licensed in Colorado (991083) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477580132
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GARY LEE NICHOLSCredential: LCSW
Location Address3250 ZEMKE AVETampa, FL 33621-5023
Mailing Address3250 Zemke AveTampa, FL 33621-5023 · (813) 827-9170 · Fax (813) 828-6868
Fax(813) 828-6868
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateApril 20, 2018
NPI 1477580132 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 CO · 991083
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.
3250 ZEMKE AVE, Tampa, FL 33621

Other Identifiers 1

Medicaid035268CO

Other Providers at the Same Location NPPES 20

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

Physical Therapist
3250 ZEMKE AVE
TAMPA, FL 33621
Physical Medicine & Rehabilitation (Sports Medicine)
3250 ZEMKE AVE, 6TH MEDICAL GROUP
MACDILL AFB, FL 33621
Psychologist (Clinical)
3250 ZEMKE AVE
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE
TAMPA, FL 33621
Dentist (Periodontics)
3250 ZEMKE AVE
TAMPA, FL 33621
Military Health Care Provider (Independent Duty Medical Technicians)
3250 ZEMKE AVE
TAMPA, FL 33621
Nurse Practitioner
3250 ZEMKE AVE
TAMPA, FL 33621

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 Gary Nichols's NPI number?

The NPI number for Gary Nichols is 1477580132. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Gary Nichols located?

Gary Nichols practices at 3250 Zemke Ave, Tampa, FL 33621. The listed phone number is (813) 827-9170.

What is Gary Nichols's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Nichols was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.