Mr Olyver Jarrett Blakeway, LCSW is a
Social Worker - Clinical based in Milwaukee, Wisconsin. Mr Olyver Jarrett Blakeway is licensed to practice in California (license number LCSW66048) and his current practice location is
5000 W National Ave, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 384-2000.
NPI number for Mr Olyver Jarrett Blakeway is 1376988501 and his current mailing address is 5000 W National Ave Rm 3100, Milwaukee, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376988501.
Healthcare Provider's Profile
Full Name | Mr Olyver Jarrett Blakeway |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5000 W National Ave, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376988501
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 12/13/2021
Medical Identifiers
Medical identifiers for Mr Olyver Jarrett Blakeway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376988501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW66048 (California) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW66048 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Olyver Jarrett Blakeway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Olyver Jarrett Blakeway, LCSW 5000 W National Ave Rm 3100, Milwaukee, WI 53295-0001 Ph: (414) 384-2000 | Mr Olyver Jarrett Blakeway, LCSW 5000 W National Ave, Milwaukee, WI 53295 Ph: (414) 384-2000 |
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