Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy L. Widenbaum, LMSW, PC

Organization Clinical Social Worker · NPI 1053578179

Amy L. Widenbaum, LMSW, PC is a Clinical Social Worker in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18420 Farmington Rd
Livonia, MI 48152-3588
Phone: (248) 568-9680
Fax: (734) 425-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801066237 (MI)

Record details

NPI number1053578179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Widenbaum — Clinical Therapist · (248) 568-9680
NPI enumeratedMay 16, 2008
Last updated in NPPESAugust 26, 2013
Mailing address18420 Farmington Rd, Livonia, MI 48152-3588

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