Individual provider Active NPI

Amy Winebarger, LMSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1891131371
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090039 Issued in MI
Practice address
37450 Schoolcraft Rd Ste 170
Livonia, MI 48150-1081
Phone
(734) 744-0170
Fax
(734) 744-0171
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090039 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-01686 MI

Addresses

Primary practice location

37450 Schoolcraft Rd Ste 170
Livonia, MI 48150-1081

Mailing address

37450 Schoolcraft Rd Ste 170
Livonia, MI 48150-1081
Phone (734) 744-0170

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-01686MIMDAddiction (Substance Use Disorder) Counselor
6801090039MIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1891131371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37450 SCHOOLCRAFT RD STE 170",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501081",
            "telephone_number": "734-744-0170",
            "fax_number": "734-744-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 SCHOOLCRAFT RD STE 170",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501081",
            "telephone_number": "734-744-0170",
            "fax_number": "734-744-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEBARGER",
        "first_name": "AMY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090039",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01686",
            "primary": false
        }
    ],
    "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 Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.