Individual provider Active NPI

E. Lamonica Williams, LSCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1730125964
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023014253 Issued in MO
Practice address
1634 E 63Rd St
Kansas City, MO 64110-3502
Phone
(816) 381-5648
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2023014253 MO Primary
Clinical Social Worker 1041C0700X 3804 KS
Social Worker 104100000X 5172 KS

Addresses

Primary practice location

1634 E 63Rd St
Kansas City, MO 64110-3502

Mailing address

PO Box 740019
Atlanta, GA 30374-0019

Other practice location 1

520 S Holland St
Suite 401
Wichita, KS 67209-2096
Phone (316) 729-9965 ext. 810

Other practice location 2

16659 E 23rd St S
Independence, MO 64055-1922
Phone (816) 688-6000

Other identifiers 2

IdentifierTypeStateIssuer
14523OtherKSPREFERRED HEALTH SYSTEMS
396678OtherKSBLUE CROSS BLUE SHIELD

Other names 1

  • Earnestine Lamonica Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20111026000710 KS Practitioner - Clinical Social Worker 7618140211 Reassigns benefits to 2 organizations
I20260217000191 MO Practitioner - Clinical Social Worker 7618140211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Missouri LLCGroup PAC ID 7315340213, 25 clinicians

Practice addresses (Care Compare)

1634 E 63Rd St
Kansas City, MO 64110-3502
Phone (816) 381-5648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5172KSMDSocial Worker
2023014253MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Missouri, LLC Clinical CurrentSince Feb 2, 2026 Accepting new patients
Oak Street Health Physicians Group of Kansas LLC Clinical CurrentSince Feb 2, 2026 Accepting new patients
South Central Mental Health Counseling Center, Inc. Clinical CurrentSince Aug 31, 2015 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients
Jeanette Diederich Clinical Past Accepting new patients
Earnestine Lamonica Williams PastSince Aug 1, 2011 Accepting new patients

Locations

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

4019 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-6116

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

1634 E 63rd St
Kansas City, MO 64110
Phone (816) 209-6960

Organizations & group practices 6

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1730125964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103502",
            "telephone_number": "816-381-5648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Holland St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672092096",
            "country_code": "US",
            "telephone_number": "316-729-9965 x810",
            "fax_number": "316-854-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16659 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640551922",
            "country_code": "US",
            "telephone_number": "816-688-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "E.",
        "middle_name": "LAMONICA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023014253",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3804",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "14523",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "396678",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARNESTINE",
            "last_name": "WILLIAMS",
            "middle_name": "LAMONICA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.