Diana Christine Koch, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60806788 Issued in WA

Practice address

1116 Key St Ste 101
Bellingham, WA 98225-5251

Phone

(716) 316-7232

NPI assigned

Jul 22, 2006

Sex

Female

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anna Shurmatz L.L.C.

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1376073668
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720009970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 KEY ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255251",
            "telephone_number": "716-316-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 KEY ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255251",
            "telephone_number": "716-316-7232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Wardman Rd",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142172851",
            "country_code": "US",
            "telephone_number": "716-874-7484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "DIANA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60806788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Knudson, DDS
• Rachelle Hoppe Knutson, DPT
• Shu-Hsin Ko
• Briana Koback-White, LMFTA
• Caitlin Barton Koch, MS MSW CCLS LSWAIC
• Lisa Kristine Koch, MD PHD
• Alicia R Kochan, L.AC.
• Amber Helen Koehler, C)6153474
• Laura Ellen Koehn, M.D.
• Carolyn Eldridge Koehnline, M.A.

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.