Individual provider Active NPI

Patricia A Presley, LCSW

  • Clinical Social Worker
  • Park Hills, MO
National Provider Identifier
1770100257
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020015776 Issued in MO
Practice address
5272 Flat River Dr
Park Hills, MO 63601-2224
Phone
(573) 431-0162
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Family Medical Clinic, LLC (10 clinicians)
Midwest Post Acute Care PLLC (125 clinicians)

Practice addresses (Care Compare)

24 N Sprigg St
Cape Girardeau, MO 63701-5526
Phone (573) 332-7992

5 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (312) 447-1941

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200717000131 MO Practitioner - Clinical Social Worker 1658795026 Reassigns benefits to 2 organizations
I20250723002914 IL Practitioner - Clinical Social Worker 1658795026 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2020015776MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical Current
since Jul 1, 2025
Accepting new patients
Cape Family Medical Clinic, LLC Current
since Jul 1, 2024
Accepting new patients
Advanced Psychiatric Services Inc Current
since Aug 12, 2022
Accepting new patients
Beyond Valor Counseling and Consulting, LLC Current Accepting new patients
Cape Family Medical Clinic, LLC Current
since Jul 1, 2024
Accepting new patients
Serenity Hospicecare Current
since Jul 5, 2020
Accepting new patients
Cape Family Medical Clinic, LLC Past Accepting new patients
Advanced Psychiatric Services Past Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2045 W Grand Ave
Ste B28354
Chicago, IL 60612

5 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 242-1064

1700 White St
Mount Vernon, IL 62864
Phone (318) 242-4075

24 N Sprigg St
Cpe Girardeau, MO 63701
Phone (314) 652-0100

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

5272 Flat River Dr
Park Hills, MO 63601
Phone (573) 431-0162

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2020015776 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

5272 Flat River Dr
Park Hills, MO 63601-2224

Mailing address

Serenity Hospicecare
Park Hills, MO 63601
Phone (573) 431-0162

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2025.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1770100257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SERENITY HOSPICECARE",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "63601",
            "telephone_number": "573-431-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 FLAT RIVER DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012224",
            "telephone_number": "573-431-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020015776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Hills, MO

Sources for this page

Verify at the official NPI Registry.