Active NPI
Madeline Bredeweg
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1619621653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.029963
- Practice address
- 16836 Newburgh Rd
Livonia, MI 48154-1600 - Phone
- (734) 464-4220
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851116382 | MI | |
| Behavior Technician | 106S00000X | |||
| Clinical Social Worker | 1041C0700X | 149.029963 | IL | Primary |
Addresses
Primary practice location
16836 Newburgh Rd
Livonia, MI 48154-1600
Mailing address
16836 Newburgh Rd
Livonia, MI 48154-1600
Phone (734) 464-4220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.029963 | IL | MD | Clinical Social Worker |
| 6851116382 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1619621653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16836 NEWBURGH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541600",
"telephone_number": "734-464-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16836 NEWBURGH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541600",
"telephone_number": "734-464-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDEWEG",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851116382",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.029963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.