Individual ProviderAlison PrineSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2 Church St, Suite 4g, Burlington, VT 05401-4299(802) 651-9898PECOS EnrollmentBased on the most recent information from CMS, provider Alison Prine is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1063569168Provider TypeIndividualFull NamePrine, AlisonCredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date1/4/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2 Church St, Suite 4g, Burlington, VT 05401-4299Phone(802) 651-9898FaxUnlisted FaxMailing LocationMailing Address19 Caroline St, Burlington, VT 05401-4810Phone(802) 651-9898FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0890000672Vermont