Individual provider Active NPI

Nicollette C Luibrand, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1831672963
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61185 Issued in TX
Practice address
100 W Dean Keeton St Stop A3500
Austin, TX 78712-1099
Phone
(512) 471-3515
Fax
(512) 471-0898
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61185 TX Primary

Addresses

Primary practice location

100 W Dean Keeton St Stop A3500
Austin, TX 78712-1099

Mailing address

100 W Dean Keeton St Stop A3500
Austin, TX 78712-1099
Phone (512) 471-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61185TXMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: nicollette.luibrand.p1@direct.lscctx.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1831672963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST STOP A3500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121099",
            "telephone_number": "512-471-3515",
            "fax_number": "512-471-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST STOP A3500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121099",
            "telephone_number": "512-471-3515",
            "fax_number": "512-471-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIBRAND",
        "first_name": "NICOLLETTE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.