Look up the most recent NPI and PECOS records

Charles David Gottlieb

Social Worker

Behavioral Health & Social Service Providers

149 Cherry St, Burlington, VT 05401-3817

PECOS Enrollment

Based on the most recent information from CMS, provider Charles David Gottlieb does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1033280623
Provider Type
Individual
Full Name
Gottlieb, Charles David
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
No
Enumeration Date
11/13/2006
Last Updated
1/29/2008

Contact Information

Practice Location

149 Cherry St, Burlington, VT 05401-3817

(802) 863-2495

(802) 865-0534

Mailing Location

473 North St, Burlington, VT 05401-1620

(802) 863-2325

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 089-0000030 Vermont

Provider Identifiers

ID	Description	Issuer
ID 1006770	Description Medicaid	Issuer Unlisted Vermont

Charles David Gottlieb

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Gilman, Michael Lee

Bates, Claire

Kirschner, Ellen M

Corbally, Charles Joseph

Dugas, Ruth

Gaston, Rachel Claire

Hubeck, Kimberly

Ross, Margaret

Laura Rabinovitz, Licsw, Plc

Sanders Garcia, Emily-Anne