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

Amy Wieboldt, LCSW

Individual provider Clinical Social Worker · NPI 1043067010

Amy Wieboldt, LCSW is a Clinical Social Worker in Lees Summit, Missouri. Qualified in 2002, 24 years ago. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2024
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1579 NE Rice Rd
Lees Summit, MO 64086-5849
Phone: (816) 966-0900
Fax: (816) 347-3200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2025050005 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2023042126 (MO)
Social Worker Taxonomy 104100000X · Licence 2023042126 (MO)

Record details

NPI number1043067010
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Lees Summit