Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shoshana Diane Sagner Koch, LICSW

Individual provider Clinical Social Worker · NPI 1255688602

Mrs. Shoshana Diane Sagner Koch, LICSW is a Clinical Social Worker in Woodbury, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
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

7582 Currell Blvd Ste 208
Woodbury, MN 55125-2471
Phone: (612) 234-1150
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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 19703 (MN)

Record details

NPI number1255688602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 4, 2012
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

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