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

Patty J Koker, LCSW

Individual provider Clinical Social Worker · NPI 1053887109

Patty J Koker, LCSW is a Clinical Social Worker in Corvallis, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
2
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

530 NW 27th St
Corvallis, OR 97330-5223
Phone: (541) 766-6835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 608 Lancaster Dr Se, Salem, OR 97317-5643 — (503) 877-1995

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence A5632 (OR)

Record details

NPI number1053887109
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 16, 2018
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

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