Individual provider · Type 1 NPI

Stacy Anne Koch, LCSW

Clinical Social Worker · Libertyville, IL

NPI number 1427757749 Active

Practice location

1800 Hollister Dr Ste 201
Libertyville, IL 60048-5266

Call (847) 549-1189 Map

Mailing address

1214 Laurel Ave
Deerfield, IL 60015-4782

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801122404 (MI)
Clinical Social Worker Primary 1041C0700X149.025337 (IL)

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 1427757749

Stacy Anne Koch, LCSW's National Provider Identifier is 1427757749, issued on Feb 24, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Libertyville, IL. The record was last updated on Aug 6, 2026.