Healthcare Provider Details

I. General information

NPI: 1184539371
Provider Name (Legal Business Name): OLIVIA DENAMUR APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 W CAPITOL DR
MILWAUKEE WI
53222-1706
US

IV. Provider business mailing address

1804 N 57TH ST
MILWAUKEE WI
53208-1612
US

V. Phone/Fax

Practice location:
  • Phone: 414-465-5570
  • Fax: 414-260-8980
Mailing address:
  • Phone: 715-367-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number135406-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: