npidexNPI registry + Medicare data

AMY WIEBOLDT, LCSW

Clinical Social Worker · LEES SUMMIT, MO

Individual Active NPI 1043067010

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Social Worker1041C0700X✓2025050005MO
Clinical Social Worker1041C0700X2023042126MO
Social Worker104100000X2023042126MO

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Other Clinical Social Worker providers in Missouri

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.