Individual
MRS. NANCY CATHERINE KOEPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 19TH STREET, ROCK ISLAND, IL 61201-7164
(309) 786-3591
(309) 786-3591
Mailing address
211 19TH ST, ROCK ISLAND, IL 61201-8028
(309) 786-3591
(309) 786-5135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06082
NASW
IA
Enumeration date
09/25/2008
Last updated
01/06/2015
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