1. Home
  2. Directory
  3. California
  4. San Quentin
  5. Social Worker
  6. NPI Profile

MS. THERES LUCKOSE
NPI 1255675781
Social Worker - Clinical in San Quentin, CA

Active since November 21, 2012
1 MAIN ST, SAN QUENTIN, CA 94964(415) 454-1460 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Theres Luckose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERES LUCKOSE (NPI 1255675781) is an individual clinical provider in San Quentin, California, licensed in California (75515) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1255675781
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. THERES LUCKOSE
Location Address1 MAIN STSan Quentin, CA 94964-1000
Mailing Address37359 Chinaberry CmnFremont, CA 94536-7924 · (510) 796-1523
Phone(415) 454-1460
Sole ProprietorNo
Enumeration DateNovember 21, 2012
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1255675781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 75515
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1 MAIN ST, San Quentin, CA 94964
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DENISE C ALABART REYES M.D.
Family Medicine
1 MAIN ST
SAN QUENTIN, CA 94964
Marin County (415) 454-1460
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MAIN ST
SAN QUENTIN, CA 94964
Marin County (415) 444-0376
KAREN LIPPMAN PSY.D.
Psychologist
1 MAIN ST
SAN QUENTIN, CA 94964
Marin County (415) 454-1460
DR. STEVEN CHARLES GIBBS MD
Psychiatry & Neurology (Psychiatry)
1 MAIN ST, CALIFORNIA STATE PRISON, MENTAL HEALTH DEPT.
SAN QUENTIN, CA 94964
Marin County (415) 454-1460
DR. DAVID AITKEN JR. PSY.D.
Psychologist (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Marin County (415) 454-1460
SARAH DEWEESE PSYD
Psychologist
1 MAIN ST, SAN QUENTIN STATE PRISON
SAN QUENTIN, CA 94964
Marin County (415) 454-1460
DR. ROBERT STEINER PH.D
Psychologist
1 MAIN ST, CHSB RM 2123
SAN QUENTIN, CA 94964
Marin County (415) 454-1460
JUDY M. WICK LCSW
Social Worker (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Marin County (415) 454-1460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theres Luckose's NPI number?

The NPI number for Theres Luckose is 1255675781. It was assigned to this individual provider in the NPPES registry on November 21, 2012.

Where is Theres Luckose located?

Theres Luckose practices at 1 Main St, San Quentin, CA 94964. The listed phone number is (415) 454-1460.

What is Theres Luckose's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Theres Luckose was last updated on January 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.