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Deactivated NPI 1306059159 Deactivated / Inactive NPI Male Practitioner

Michael J Williams , LCSW

Social Worker - Clinical • Black, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2007
NPI Deactivation Date July 31, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Michael Williams, LCSW was a registered Social Worker - Clinical practicing in Black, MO. Throughout an active medical career spanning 18 years, Michael Williams provided care at the practice location at RR 1 BOX 127 until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

Rr 1 Box 127

Black, MO 636259704

Telephone 5732694291
Fax 5732694202
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Black, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Black, MO (5572 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MO 000474

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Sharon Sorrell , MSW LCSW

Social Worker - Clinical

NPI 1083697403

MSWLCSW

Patricia Cahill , LCSW

Social Worker - Clinical

NPI 1235341975

Licensed Clinical Social Worker

Karen Monroe , LCSW

Social Worker - Clinical

NPI 1457564023

Licensed Clinical Social Worker

NPI 1548412901

Licensed Clinical Social Worker

NPI 1548472392
Deborah Stewart , LCSW

Social Worker - Clinical

NPI 1679786271

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at RR 1 BOX 127, BLACK, MO 636259704 (Tel: 5732694291)

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Updated Business Mailing Address July 08, 2007

Registered at RR 1 BOX 127, BLACK, MO 636259704 (Tel: 5732694291)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL WILLIAMS, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #000474 in MO)

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Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306059159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 08, 2007
Deactivation Date: July 31, 2025

Mailing Address

Rr 1 Box 127

Black, MO 636259704

Phone: 5732694291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.