Michelle Lakiesha Williams, M.ED, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2507485 Issued in OH

Practice address

5726 Southwyck Blvd Ste 200
Toledo, OH 43614-1510

Phone

(419) 214-1766

Fax

(419) 214-1792

NPI assigned

Mar 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Sound Mind Behavioral Wellness

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1043846165
  Medicare reassignment NPD Authorized official
• Sound Mind Behavioral Wellness, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1619581915
  NPD Authorized official

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1679109797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200-B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141559",
            "telephone_number": "567-742-7930",
            "fax_number": "419-867-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "middle_name": "LAKIESHA",
        "credential": "M.ED, MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507485",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444405",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@soundmindbehavioral.com",
            "affiliation": "N",
            "endpointDescription": "agency email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5726 Southwyck Blvd Ste 200",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436141510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Williams, LICDC
• Mary Lou Williams
• Mary Susan Williams, RN
• Melissa Williams, LPN
• Michelle Williams
• Monshae Latrese Williams
• Natasha Williams
• Nicole R Williams, MS, LPC, ED.S
• November Williams
• Paula Anne Williams

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.