Amy L. Widenbaum, Lmsw, PC
NPI 1053578179 · Clinical Social Worker · Livonia, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy L. Widenbaum, Lmsw, PC is a Clinical Social Worker organization in Livonia, MI (NPI 1053578179).
Provider details
- NPI number
- 1053578179
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy Widenbaum, Clinical Therapist(248) 568-9680
- License
- 6801066237 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2013-08-26
Frequently asked questions
- What is Amy L. Widenbaum, Lmsw, PC's NPI number?
- Amy L. Widenbaum, Lmsw, PC's National Provider Identifier (NPI) is 1053578179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amy L. Widenbaum, Lmsw, PC?
- Amy L. Widenbaum, Lmsw, PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Amy L. Widenbaum, Lmsw, PC located?
- Amy L. Widenbaum, Lmsw, PC's practice location on file with NPPES is 18420 Farmington Rd, Livonia, MI 48152-3588.
- What is Amy L. Widenbaum, Lmsw, PC's phone number?
- The practice phone number listed in the NPPES registry for Amy L. Widenbaum, Lmsw, PC is (248) 568-9680.
- Does Amy L. Widenbaum, Lmsw, PC accept Medicare?
- Amy L. Widenbaum, Lmsw, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Amy L. Widenbaum, Lmsw, PC?
- The authorized official listed on Amy L. Widenbaum, Lmsw, PC's NPPES record is Amy Widenbaum, Clinical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amy L. Widenbaum, Lmsw, PC's NPI active?
- Yes — Amy L. Widenbaum, Lmsw, PC's NPI (1053578179) is active in the NPPES registry as of the last update on 2013-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.