Individual
JULIE SKODAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
630 W KEARNEY ST, SPRINGFIELD, MO 65803-2508
(417) 761-5000
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006038246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12102456
CAQH
—
05
—
497387902
—
MO
Enumeration date
07/26/2007
Last updated
05/05/2026
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