Amy L. Widenbaum, Lmsw, PC
NPI 1053578179ActiveOrganization· Social Worker, Clinical· Farmington Hills, MI
Social Worker, Clinical in Farmington Hills, Michigan, registered in NPPES in May 2008. The authorized official on file is Amy Lynn Widenbaum, LMSW, Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053578179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2008 |
| Last updated in NPPES | Sep 4, 2026 |
| Certified by provider | Sep 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801066237 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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