Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth Mark Skouby, LCSW

Individual provider Clinical Social Worker · NPI 1104948769

Mr. Kenneth Mark Skouby, LCSW is a Clinical Social Worker in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

515A E McCarty
Jefferson City, MO 65101
Phone: (573) 635-2254
Fax: (573) 634-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW002185 (MO)

Record details

NPI number1104948769
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 8, 2007

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