MICHAEL P KOCH (LIC SW) – Clinical Social Worker, NPI 1861453714

Clinical Social Worker

MICHAEL P KOCH (LIC SW) is a healthcare provider. based in Cottage grove, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LIC SW. They hold a License No. 5141 (MN). The NPI Number for MICHAEL P KOCH (LIC SW) is 1861453714

Main info

Male

33 Years Of Experience

Accepts Medicare Assignment

Name

MICHAEL P KOCH (LIC SW)

NPI

1861453714

Phone

(651) 458-1884

Address

8611 W POINT DOUGLAS RD S

Enumeration Date

30 March 2006

Last Update Date

12 January 2023

Doctor Profile

Medical School Name

UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE

Secondary Phone

6514581884

Graduation Year

1993 (33 years ago)

PAC ID

7911296561

Group Practice PAC ID

4587573613

Professional Enrollment ID

I20160520000582

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL P KOCH (LIC SW)

West Point Douglas Road South, Cottage Grove, Washington County, Minnesota, 55016, United States
COTTAGE GROVE, MN 550164005
Phone: (651) 458-1884
Type: Location
PO BOX 43
MR 10809
MINNEAPOLIS, MN 554400043
Phone: (612) 262-1166
Fax: (612) 262-9035
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4587573613View full group profile

Name	Specialty	State
DR. JOHN PAUL BERGER (D.O.)	Pulmonary Disease	CO
DR. JULIA BRADEN REITZ (AU.D.)	Qualified Audiologist	MN
EMILY FUNK (M.D.)	Family Practice	MN
EFRAT EICHENBAUM (LP, PHD)	-	MN
DR. DAVID SHRAKE (D.O.)	Family Practice	MN
SADIE MARIE NELSON (APRN, CNP)	Nurse Practitioner	ND
JEFFREY C. MANLOVE (M.D.)	-	MN
DR. ROBIN D MCALLISTER (MD)	-	MN
Unknown Individual	-	MN
LOIS A KUBITSCHEK (GNP)	-	MN

Reviews

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Frequently asked questions

What federal number belongs to MICHAEL P KOCH (LIC SW)?

The federal identifier for MICHAEL P KOCH (LIC SW) is NPI 1861453714.

Does this profile mean MICHAEL P KOCH (LIC SW) is currently active?

Yes — MICHAEL P KOCH (LIC SW) appears active in the national provider directory.

What does MICHAEL P KOCH (LIC SW) treat or focus on?

Patients typically see MICHAEL P KOCH (LIC SW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.

What location shows for MICHAEL P KOCH (LIC SW)?

We surface Cottage Grove, Minnesota for MICHAEL P KOCH (LIC SW) based on available NPPES addresses.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.