Individual provider · Type 1 NPI

Gloria Jean Koch, LISW

Clinical Social Worker · Dayton, OH

NPI number 1811910037 Active

Practice location

4100 W 3rd St
Dayton, OH 45428-9000

Call (937) 268-6511 Map

Fax (937) 267-3975

Mailing address

5848 Deerfield St
Dayton, OH 45414-2954

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI0009877 (OH)

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 1811910037

Gloria Jean Koch, LISW's National Provider Identifier is 1811910037, issued on Jul 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.