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

Amy L. Widenbaum, LMSW, PC

Organization Clinical Social Worker · NPI 1053578179

Amy L. Widenbaum, LMSW, PC provides Clinical Social Worker services 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 Not confirmed with CMS for 13 years — call before visiting
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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