Individual provider · Type 1 NPI

Gary Lee Nichols, LCSW

Clinical Social Worker · Tampa, FL

NPI number 1477580132 Active

Practice location

3250 Zemke Ave
Tampa, FL 33621-5023

Fax (813) 828-6868

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X991083 (CO)

Clinical Social Worker: 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 interpers…

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About NPI 1477580132

Gary Lee Nichols, LCSW's National Provider Identifier is 1477580132, issued on Jun 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Apr 20, 2018.