Healthcare Provider Details

I. General information

NPI: 1326962853
Provider Name (Legal Business Name): NICHOLE GUNN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICHOLE BRAMMER

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 5TH AVE STE 600
DES MOINES IA
50309-2319
US

IV. Provider business mailing address

505 5TH AVE STE 600
DES MOINES IA
50309-2319
US

V. Phone/Fax

Practice location:
  • Phone: 515-471-2358
  • Fax:
Mailing address:
  • Phone: 515-471-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138271
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: