Victor L Koch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1201 Locust St
Eldorado, IL 62930-1722

Phone

(618) 252-9036

NPI assigned

Aug 18, 2025

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1619854197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N COURTNEY ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629592274",
            "telephone_number": "618-924-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LOCUST ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301722",
            "telephone_number": "618-252-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "VICTOR",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Jackson, MASTERS
• Alyse McKenna Jensik
• Shelly Jean Jordan Heflin, NP
• Jason Vincent Kasiar, R. PH.
• Melody Kisner, RN
• Barbara L Kreps
• Erin M Krikie, PMHNP-BC
• Donna Lampert, LPN
• Taylor Lauer, LCSW
• Catherine Lee

• Clinical Social Worker in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.