Individual
MADISON KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
258003
KY
1041C0700X
Clinical Social Worker
Primary
258003
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001698
KY
Other
Enumeration date
06/05/2023
Last updated
07/20/2026
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