Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chelsie Jo Koch, LICSW

Individual provider Mental Health Counselor · NPI 1134607195

Chelsie Jo Koch, LICSW is a Clinical Social Worker in Willmar, Minnesota. Qualified in 2017, 9 years ago. Practices with As the Sun, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2120 60th Ave NE
Willmar, MN 56201-9140
Phone: (320) 429-1469
Fax: (507) 218-8492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 West Main Street, Osakis, MN 56360 — (320) 859-2142

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 26446 (MN)

Record details

NPI number1134607195
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 1, 2018
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice As The Sun — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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