Individual provider Active NPI

Priscilla Williams, MSW, LCSW

  • Clinical Social Worker
  • Saint Peters, MO
National Provider Identifier
1023639283
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023013955 Issued in MO
Practice address
255 Spencer Rd Ste 101
Saint Peters, MO 63376-2574
Phone
(636) 477-8290
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2023013955 MO Primary

Addresses

Primary practice location

255 Spencer Rd Ste 101
Saint Peters, MO 63376-2574

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other identifiers 1

IdentifierTypeStateIssuer
830083102MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230913002023 MO Practitioner - Clinical Social Worker 7810351566 Reassigns benefits to 1 organization
I20250612000253 OR Practitioner - Clinical Social Worker 7810351566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L14257ORMDSocial Worker
2020005861MOMDClinical Social Worker
2023013955MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightways Counseling Group LLC Clinical CurrentSince May 29, 2025 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Jun 8, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 21, 2023 Accepting new patients

Locations

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

7515 Falcon Crest Dr
#200
Redmond, OR 97756

Networks

  • IA HMO
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1023639283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD STE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762574",
            "telephone_number": "636-477-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PRISCILLA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023013955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830083102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.