Individual provider · Type 1 NPI

Olyver Jarrett Blakeway, LCSW

Clinical Social Worker · Milwaukee, WI

NPI number 1376988501 Active

Practice location

5000 W National Ave
Milwaukee, WI 53295

Mailing address

5000 W National Ave Rm 3100
Milwaukee, WI 53295-0001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLCSW66048 (CA)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XLCSW66048 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376988501

Olyver Jarrett Blakeway, LCSW's National Provider Identifier is 1376988501, issued on May 1, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 13, 2021.