Stephanie Diane Williams, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004024500 Issued in MO

Practice address

1000 Executive Parkway Dr Ste 106
Creve Coeur, MO 63141-6369

Phone

(314) 329-7107

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 14, 2026 through Apr 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Christian Counseling

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1477728400
  NPD
• Kids in the Middle, Inc.

  • Counselor
  • Saint Louis, MO
  • NPI 1083847958
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1417168113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-329-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-329-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004024500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Anne Willen, DPT
• William Joseph Group, LLC
• William R Wing LLC
• Amanda Erin Williams, MA
• Jon Connorran Williams, PSYD
• Krista M Wilson, LCSW
• Madelyn Wilson, DDS
• Dorcas Wimsatt, PTA
• Ashley Maire Windsor, N.P.
• Linda Kay Wing, MED, LCSW

• Clinical Social Worker in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.