MR. KENNETH MARK SKOUBY (NPI# 1104948769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104948769 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MARK SKOUBY |
| Credential | LCSW |
| Practice Address |
515a East Mccarty Jefferson City MO 65101 |
| Mailing Address |
515a East Mccarty Sreet Jefferson City MO 65101 |
| Practice Telephone | 5736352254 |
| Practice Fax Number | 5736342221 |
| Mailing Telephone | 5736342254 |
| Mailing Fax Number | 5736342221 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW002185 | MO | Behavioral Health & Social Service Providers |
| Street Address |
515A EAST MCCARTY |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1356471734 | Elizabeth L Strolberg Page | Counselor | 415 E Mccarty St, Jefferson City, MO 65101 | 2007-03-06 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1962983841 | Stephen Field Keohane | Social Worker | 331 Freedom Ln, Jefferson City, TN 37760-4132 | 2018-08-28 |
| 1609201896 | Brian Jesse Page | Social Worker | 2302 Militia Dr, Jefferson City, MO 65101-1203 | 2013-09-06 |
| 1093090508 | Sunrise Counseling LLC | Social Worker | 1808a Southwest Blvd, Jefferson City, MO 65109-2438 | 2011-10-15 |
| 1619257326 | Re-entry Transitions Counseling, L.L.C. | Social Worker | 1001 Southwest Blvd Ste F, Jefferson City, MO 65109-2501 | 2011-08-25 |
| 1306017132 | Harry Frederick Morlock Sr. | Social Worker | 972 Westwood Dr, Jefferson City, MO 65109-1863 | 2008-03-19 |
| 1699702225 | Jennifer Lynn Mccullough | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2006-06-27 |
| 1104896745 | Timothy Wayne Davis | Social Worker | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-01-25 |
| 1013518513 | Jennie M Harvat | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-11-03 |
| 1336748052 | Cynde Marie Patrick | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-10-23 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on MR. KENNETH MARK SKOUBY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.