Provider Demographics
NPI:1063741304
Name:GULBRANDSON, RAINA M (MSW)
Entity type:Individual
Prefix:MS
First Name:RAINA
Middle Name:M
Last Name:GULBRANDSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 SW PAUL WHITEHEAD LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-2031
Mailing Address - Country:US
Mailing Address - Phone:402-617-3582
Mailing Address - Fax:
Practice Address - Street 1:5000 CENTRAL PARK DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3465
Practice Address - Country:US
Practice Address - Phone:402-464-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical