Individual ProviderJamie Lee HeiseSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 West National Avenue, Building 43 Room 206, Milwaukee, WI 53295(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Lee Heise 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 33 days ago.Profile DetailsProvider ID1881059905Provider TypeIndividualFull NameHeise, Jamie LeeTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/16/2015Last Updated12/16/2015Contact InformationPractice LocationPractice Address5000 West National Avenue, Building 43 Room 206, Milwaukee, WI 53295Phone(414) 384-2000Fax(414) 902-5430Mailing LocationMailing Address5000 W National Ave, Building 43 Room 206, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 902-5430Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense7390WisconsinProvider IdentifiersIDDescriptionIssuerID1041C0700XDescriptionMedicaidIssuerUnlistedWisconsin