Ms Amy Lynn Widenbaum, MSW,LMSW,CSW,ACSW | |
15645 Farmington Rd, Livonia, MI 48154-2851 | |
(248) 568-9680 | |
(734) 425-6212 |
Full Name | Ms Amy Lynn Widenbaum |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 15645 Farmington Rd, Livonia, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558428276 | NPI | - | NPPES |
476528 | Other | MI | VALUE OPTIONS |
80-0-89-6782-0 | Other | MI | BCBS |
537109-000 | Other | MI | MAGELLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801066237 (Michigan) | Primary |
Entity Name | Amy L Widenbaum Lmsw Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053578179 PECOS PAC ID: 5496998411 Enrollment ID: O20130823000487 |
Mailing Address | Practice Location Address |
---|---|
Ms Amy Lynn Widenbaum, MSW,LMSW,CSW,ACSW 15645 Farmington Rd, Livonia, MI 48154-2851 Ph: (248) 568-9680 | Ms Amy Lynn Widenbaum, MSW,LMSW,CSW,ACSW 15645 Farmington Rd, Livonia, MI 48154-2851 Ph: (248) 568-9680 |
Bushra Tayab, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150 Phone: 734-458-4601 Fax: 734-458-4611 | |
Robert Keith Graham, DCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17940 Farmington Rd, Suite 225, Livonia, MI 48152 Phone: 734-466-3311 | |
Kellie Kroeger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19805 Farmington Rd, Livonia, MI 48152 Phone: 586-846-0535 | |
Rebecca L Sherman, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17250 Farmington Rd, Livonia, MI 48152 Phone: 734-425-4070 Fax: 734-425-8350 | |
Mrs. Amanda Denise Glaze, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14100 Newburgh Rd, Livonia, MI 48154 Phone: 734-464-7810 | |
Mrs. Cortney Renee Bugar, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18316 Middlebelt Rd, Livonia, MI 48152 Phone: 248-615-9730 | |
Mr. Adam Beyer, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 36423 Grandon St, Livonia, MI 48150 Phone: 248-613-1514 Fax: 734-284-8702 |