MEDICARE: OLB SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1134978745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLB SERVICES LLC

Provider Business Mailing Address
First Line	:	2202 W RACE AVE APT 3E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-5476
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 N WESTERN AVE STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-6089
Country	:	US
Telephone Number	:	312-796-7266
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	OLIVIA BERKELEY
Credential	:	LCSW
Telephone Number	:	512-434-9934

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	12/15/2025

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Directions to “OLB SERVICES LLC ” Practice Location

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