Individual provider · Type 1 NPI

Michael P. Koch, LIC SW

Clinical Social Worker · Cottage Grove, MN

NPI number 1861453714 Active

Practice location

8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005

Mailing address

PO Box 43, Mr 10809
Minneapolis, MN 55440-0043

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5141 (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 1861453714

Michael P. Koch, LIC SW's National Provider Identifier is 1861453714, issued on Mar 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cottage Grove, MN. The record was last updated on Jan 12, 2023.