Individual ProviderSamuel LurieSocial WorkerBehavioral Health & Social Service ProvidersPractice Address617 Riverside Ave, Burlington, VT 05401-1601(802) 864-6309(802) 578-8391PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Lurie 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 ID1295279628Provider TypeIndividualFull NameLurie, SamuelTitleMr.CredentialMSW, LICSWGenderMaleSole ProprietorYesEnumeration Date12/3/2016Last Updated8/19/2025Contact InformationPractice LocationPractice Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309FaxUnlisted FaxMailing LocationMailing Address80 Austin Dr Apt 173, Burlington, VT 05401-5483Phone(802) 578-8391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089.0124189VermontProvider IdentifiersIDDescriptionIssuerID1029454DescriptionMedicaidIssuerUnlistedVermont