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

Christopher Michael Koch, LCSW

Individual provider Clinical Social Worker · NPI 1114773694

Christopher Michael Koch, LCSW is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12015 W Dickens Dr
Boise, ID 83709-7737
Phone: (208) 972-0852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-30865 (ID)

Record details

NPI number1114773694
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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