Caitlin Barton Koch, MS MSW CCLS LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1106 Harris Ave Ste 305
Bellingham, WA 98225-7002

Phone

(360) 295-6805

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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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": "1851935126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 30TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982258211",
            "telephone_number": "360-739-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HARRIS AVE STE 305",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257002",
            "telephone_number": "360-295-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CAITLIN",
        "middle_name": "BARTON",
        "credential": "MS MSW CCLS LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://resiliencecounseling.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Portal",
            "address_1": "1106 Harris Ave Ste 305",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982257002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krystal Knudson, LMT
• Robert L Knudson, DDS
• Rachelle Hoppe Knutson, DPT
• Shu-Hsin Ko
• Briana Koback-White, LMFTA
• Diana Christine Koch, LICSW
• Lisa Kristine Koch, MD PHD
• Alicia R Kochan, L.AC.
• Amber Helen Koehler, C)6153474
• Laura Ellen Koehn, M.D.

• 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 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.