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

Michael P Koch, LICSW

Individual provider Clinical Social Worker · NPI 1861453714

Michael P Koch, LICSW is a Clinical Social Worker in Cottage Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Phone: (651) 458-1884
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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 5141 (MN)

Record details

NPI number1861453714
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing addressPo Box 43, Mr 10809, Minneapolis, MN 55440-0043

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