Individual ProviderBrenda EvensonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address70 S Winooski Ave, Burlington, VT 05401-3898(802) 865-3450PECOS EnrollmentBased on the most recent information from CMS, provider Brenda Evenson is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1194488726Provider TypeIndividualFull NameEvenson, BrendaCredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date10/20/2021Last Updated10/20/2021Contact InformationPractice LocationPractice Address70 S Winooski Ave, Burlington, VT 05401-3898Phone(802) 865-3450FaxUnlisted FaxMailing LocationMailing Address70 S Winooski Ave, Burlington, VT 05401-3898Phone(802) 865-3450FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089.0134467Vermont