Sharon Jean Koch, ED.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10621 Issued in CT

Practice address

80 Plains Rd
Unit 1
Essex, CT 06422

Phone

(860) 754-6234

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Sharon Jean Sanders Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1407490717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWNWOODS RD",
            "city": "IVORYTON",
            "state": "CT",
            "postal_code": "064421269",
            "telephone_number": "860-335-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PLAINS RD",
            "address_2": "UNIT 1",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "06422",
            "telephone_number": "860-754-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "SHARON",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "ED.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "7181425747",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SANDERS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandi Kennedy, MSW
• Jonathan Jackson Key, D.P.M.,F.A.C.F.A.S.
• Karan D Killoran, LCSW
• Gyujin Kim
• Ju Won Kim
• Donna Maire Kookoolis, PTA
• Elisabeth Marijke Kressley, MD
• Kathleen S Labella, RD, CD-N
• Rebecca Louise Lamarre, MFT
• LCS Essex Meadows LLC

• Clinical Social Worker in Essex, CT
• Providers in Essex, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.