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

Mr. Lukose Jacob, LCSW

Individual provider Clinical Social Worker · NPI 1912046640

Mr. Lukose Jacob, LCSW is a Clinical Social Worker in Gainesville, Florida. Qualified in 1977, 49 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
49
Licensed in
FL
In the registry since
2007
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

200 SW 62nd Blvd
Gainesville, FL 32607-2083
Phone: (352) 376-8211
Fax: (352) 373-7594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW11962 (FL)

Record details

NPI number1912046640
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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