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

MS. Amy Lynn Widenbaum, MSW, LMSW, CSW, ACSW

Individual provider Clinical Social Worker · NPI 1558428276

MS. Amy Lynn Widenbaum, MSW, LMSW, CSW, ACSW is a Clinical Social Worker in Livonia, Michigan. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

15645 Farmington Rd
Livonia, MI 48154-2851
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 number1558428276
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LMSW , CSW , ACSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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