Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob P Deprimo, LCSW

Individual provider Clinical Social Worker · NPI 1558138628

Jacob P Deprimo, LCSW is a Clinical Social Worker in Gonzales, Louisiana. Qualified in 2012, 14 years ago. Works from 2 locations. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1024 E Ascension Complex Blvd
Gonzales, LA 70737-4263
Phone: (225) 743-2445
Fax: (225) 450-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1112 E Ascension Complex Blvd, Gonzales, LA 70737-4265 — (225) 450-1013

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11750 (LA)

Record details

NPI number1558138628
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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