Provider Demographics
NPI:1831672963
Name:LUIBRAND, NICOLLETTE C (LCSW)
Entity Type:Individual
Prefix:
First Name:NICOLLETTE
Middle Name:C
Last Name:LUIBRAND
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 1:100 W DEAN KEETON ST STOP A3500
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78712-1099
Mailing Address - Country:US
Mailing Address - Phone:512-471-3515
Mailing Address - Fax:512-471-0898
Practice Address - Street 1:100 W DEAN KEETON ST STOP A3500
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1099
Practice Address - Country:US
Practice Address - Phone:512-471-3515
Practice Address - Fax:512-471-0898
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX611851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical