Individual ProviderSuzanne Marie PotenteSocial WorkerBehavioral Health & Social Service ProvidersPractice Address617 Riverside Ave, Burlington, VT 05401-1601(802) 864-6309PECOS EnrollmentBased on the most recent information from CMS, provider Suzanne Marie Potente does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1235312869Provider TypeIndividualFull NamePotente, Suzanne MarieCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date12/5/2007Last Updated12/6/2007Contact InformationPractice LocationPractice Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309Fax(802) 860-4324Mailing LocationMailing Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309Fax(802) 860-4324Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0890000850VermontProvider IdentifiersIDDescriptionIssuerID0890000850DescriptionOtherIssuerSTATE LICENSEVermont