Individual ProviderPatricia Black-EversSocial WorkerBehavioral Health & Social Service ProvidersPractice AddressVa Medical Ctr, 5000 W. National Ave., Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Black-Evers 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 yesterday at 12:57 PM.Profile DetailsProvider ID1972740207Provider TypeIndividualFull NameBlack-Evers, PatriciaCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date1/8/2009Last Updated1/8/2009Contact InformationPractice LocationPractice AddressVa Medical Ctr, 5000 W. National Ave., Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing AddressVa Medical Ctr, 5000 W. National Ave., Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense126976-121WisconsinCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense15029-131Wisconsin