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

Kenneth Lamar Prust, LCSW

Individual provider Mental Health Counselor · NPI 1134113178

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.

See every abbreviation used in this directory →

Practice location Address checks out

1200 N Center St
Beaver Dam, WI 53916-1148
Phone: (920) 887-3171
Fax: (920) 887-8662
Show map & directions

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 number1134113178
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESJuly 13, 2026

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