Individual provider · Type 1 NPI
Phyllis Maack Koch, LCSW
Clinical Social Worker · Naperville, IL
Practice location
43 E Jefferson, Suite 203
Naperville, IL 60540
Mailing address
731 S Mecosta Lane
Romeoville, IL 60446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1629198809
Phyllis Maack Koch, LCSW's National Provider Identifier is 1629198809, issued on Mar 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Naperville, IL. The record was last updated on Jul 8, 2007.