Lynda J Widmayer | Howell, MI • PECOS Search

Lynda J Widmayer

Social Worker

Behavioral Health & Social Service Providers

2020 E Grand River Ave, Howell, MI 48843-2478

PECOS Enrollment

Based on the most recent information from CMS, provider Lynda J Widmayer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1487660049
Provider Type
Individual
Full Name
Widmayer, Lynda J
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/1/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2020 E Grand River Ave, Howell, MI 48843-2478

(517) 545-7390

Mailing Location

2020 E Grand River Ave, Howell, MI 48843-2478

(517) 545-7390

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801033077 Michigan