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

Faith Dement Koch

Individual provider Clinical Social Worker · NPI 1720761703

Faith Dement Koch is a Clinical Social Worker in Fort Collins, Colorado. Qualified in 2020, 6 years ago. Practices with Summitstone Health Partners, a 113-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2023
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Practice location Address checks out

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone: (970) 494-4200
Fax: (844) 270-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Centre Ave, Fort Collins, CO 80526-1842 — (970) 494-4200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09930485 (CO)

Record details

NPI number1720761703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summitstone Health Partners — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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