Provider Demographics
NPI:1447055884
Name:WILLIAMS, ANGELA M (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 MONTEBELLO RD
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:MO
Mailing Address - Zip Code:63052-1788
Mailing Address - Country:US
Mailing Address - Phone:314-596-7629
Mailing Address - Fax:
Practice Address - Street 1:925 MONTEBELLO RD
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:MO
Practice Address - Zip Code:63052-1788
Practice Address - Country:US
Practice Address - Phone:314-596-7629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240458331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical