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MS. AMY LYNN WIDENBAUM MSW,LMSW,CSW,ACSW
NPI 1558428276
Social Worker - Clinical in Livonia, MI

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
15645 FARMINGTON RD, LIVONIA, MI 48154(248) 568-9680(734) 425-6212 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Amy Lynn Widenbaum Msw,lmsw,csw,acsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMY LYNN WIDENBAUM MSW,LMSW,CSW,ACSW (NPI 1558428276) is an individual clinical provider in Livonia, Michigan, licensed in Michigan (6801066237) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1558428276
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AMY LYNN WIDENBAUMCredential: MSW,LMSW,CSW,ACSW
Location Address15645 FARMINGTON RDLivonia, MI 48154-2851
Mailing Address15645 Farmington RdLivonia, MI 48154-2851 · (248) 568-9680 · Fax (734) 425-6212
Phone(248) 568-9680
Fax(734) 425-6212
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1558428276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801066237
Definition
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.
15645 FARMINGTON RD, Livonia, MI 48154
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Other Identifiers 3

Other476528MI · Value Options
Medicare PINON81310MI
Other80-0-89-6782-0MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Amy Lynn Widenbaum Msw,lmsw,csw,acsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294628970
PECOS Enrollment IDI20040205000989
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUIS POMODORO M D PC
Psychiatry & Neurology (Psychiatry)
15645 FARMINGTON RD
LIVONIA, MI 48154
Wayne County (734) 425-5320
LAITH J JACOB MD, MBCHB
Internal Medicine
15645 FARMINGTON RD
LIVONIA, MI 48154
Wayne County (248) 245-6533
DR. AMBUJAM R KRISHNAN MD
Internal Medicine (Hematology & Oncology)
15645 FARMINGTON RD
LIVONIA, MI 48154
Wayne County (734) 464-7600
K C R NAIR MD PC
Psychiatry & Neurology (Psychiatry)
15645 FARMINGTON RD
LIVONIA, MI 48154
Wayne County (734) 425-5320
MRS. EUN JU YEON APRN
Nurse Practitioner (Adult Health)
15645 FARMINGTON RD
LIVONIA, MI 48154
Wayne County (734) 464-7600
FAITH PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
15645 FARMINGTON RD
LIVONIA, MI 48154
Wayne County (313) 402-2521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Widenbaum's NPI number?

The NPI number for Amy Widenbaum is 1558428276. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Amy Widenbaum located?

Amy Widenbaum practices at 15645 Farmington Rd, Livonia, MI 48154. The listed phone number is (248) 568-9680.

What is Amy Widenbaum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amy Widenbaum enrolled in Medicare?

Yes. Amy Widenbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Widenbaum accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Providence Health Plan list Amy Widenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Widenbaum was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.