Individual provider · Type 1 NPI

Kenneth Mark Skouby, LCSW

Clinical Social Worker · Jefferson City, MO

NPI number 1104948769 Active

Practice location

515A East Mccarty
Jefferson City, MO 65101

Fax (573) 634-2221

Mailing address

515A East Mccarty Sreet
Jefferson City, MO 65101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW002185 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104948769

Kenneth Mark Skouby, LCSW's National Provider Identifier is 1104948769, issued on Apr 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 8, 2007.