Provider Demographics
NPI:1568554095
Name:NICHTER, GALE B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GALE
Middle Name:B
Last Name:NICHTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2786 S KENTON CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3072
Mailing Address - Country:US
Mailing Address - Phone:303-337-6130
Mailing Address - Fax:
Practice Address - Street 1:7430 E CALEY AVE
Practice Address - Street 2:SUITE E130
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6715
Practice Address - Country:US
Practice Address - Phone:303-337-6130
Practice Address - Fax:303-694-9898
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9910121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1568554095OtherNPI