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

Individual provider Clinical Social Worker · NPI 1427757749

Stacy Anne Koch, LCSW is a Clinical Social Worker in Libertyville, Illinois. Licensed in Illinois and Michigan. Registered with an NPI since 2023.

Licensed in
IL, MI
In the registry since
2023
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

1800 Hollister Dr Ste 201
Libertyville, IL 60048-5266
Phone: (847) 549-1189
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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 149.025337 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801122404 (MI)

Record details

NPI number1427757749
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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