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

Mr. Bryan Mathew Koch

Individual provider Clinical Social Worker · NPI 1457166282

Mr. Bryan Mathew Koch is a Clinical Social Worker in Capitola, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

250 Washburn Ave
Capitola, CA 95010-3730
Phone: (831) 464-5660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW123657 (CA)
School Social Worker Taxonomy 1041S0200X · Licence 200091184 (CA)

Record details

NPI number1457166282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address250 Washburn Ave, Capitola, CA 95010-3730

Other providers in Capitola