Individual ProviderOlyver Jarrett BlakewaySocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Olyver Jarrett Blakeway does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1376988501Provider TypeIndividualFull NameBlakeway, Olyver JarrettTitleMr.CredentialLCSWGenderMaleSole ProprietorNoEnumeration Date5/1/2013Last Updated12/13/2021Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing Address5000 W National Ave Rm 3100, Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW66048CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLCSW66048CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer