Individual ProviderJaime MitchellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Jaime Mitchell 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 ID1710284948Provider TypeIndividualFull NameMitchell, JaimeCredentialMSW, LCSWGenderFemaleSole ProprietorNoEnumeration Date2/24/2011Last Updated12/5/2024Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing Address5000 W National Ave, Milwaukee, WI 53295-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8045-123WisconsinCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense126597-121Wisconsin