Individual provider · Type 1 NPI

Lukose Jacob, LCSW

Clinical Social Worker · Gainesville, FL

NPI number 1912046640 Active

Practice location

200 SW 62nd Blvd
Gainesville, FL 32607-2083

Call (352) 376-8211 Map

Fax (352) 373-7594

Mailing address

7108 SW 80th Ter Dept Of
Gainesville, FL 32608-8412

Other practice locations

  • 7765 S County Road 231, Lake Butler, FL 32054-5721 · (386) 496-6000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW11962 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1912046640

Lukose Jacob, LCSW's National Provider Identifier is 1912046640, issued on Feb 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, FL. The record was last updated on Aug 28, 2025.