Michael Williams, L.C.S.W.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SW 002922 Issued in MO

Practice address

760 Harvard Ave
Saint Louis, MO 63130-3134

Phone

(314) 303-2154

Fax

(314) 776-9073

NPI assigned

Dec 12, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1891856910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HARVARD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303134",
            "telephone_number": "314-726-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HARVARD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303134",
            "telephone_number": "314-303-2154",
            "fax_number": "314-776-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "SW 002922",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493534515",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marva Williams, NP
• Mary A Williams, LPN
• Mary Patricia Williams, R.N. B.S.N.M.S.N.
• Matthew Gregory Williams, OT
• Melanie Williams, PHARM.D.
• Michael Jerome Williams, L.P.C.
• Michael Luke Williams
• Michael Stephen Williams Jr., M.D.
• Michela Williams
• Michelle Williams, LPC, NCC

• Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.