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

MS. Theres Luckose

Individual provider Clinical Social Worker · NPI 1255675781

MS. Theres Luckose is a Clinical Social Worker in San Quentin, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1 Main St
San Quentin, CA 94964-1000
Phone: (415) 454-1460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 75515 (CA)

Record details

NPI number1255675781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2012
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address37359 Chinaberry Cmn, Fremont, CA 94536-7924

Other providers in San Quentin