Individual provider · Type 1 NPI

Shoshana Diane Sagner Koch, LICSW

Clinical Social Worker · Woodbury, MN

NPI number 1255688602 Active

Practice location

7582 Currell Blvd Ste 208
Woodbury, MN 55125-2471

Call (612) 234-1150 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19703 (MN)

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 1255688602

Shoshana Diane Sagner Koch, LICSW's National Provider Identifier is 1255688602, issued on Aug 4, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbury, MN. The record was last updated on Oct 26, 2021.