Kenneth Lamar Prust, LCSW
Kenneth Lamar Prust, LCSW is a Mental Health Counselor in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
1200 N Center StBeaver Dam, WI 53916-1148
Phone: (920) 887-3171
Fax: (920) 887-8662
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 6795-123 (WI) |
|---|
Record details
| NPI number | 1134113178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | September 6, 2005 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | N7377 Malibou Ln, Beaver Dam, WI 53916-9534 |
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