Individual ProviderSara Ann ChaseSocial WorkerBehavioral Health & Social Service ProvidersPractice Address617 Riverside Ave, Burlington, VT 05401-1601(802) 864-6309(802) 288-8051PECOS EnrollmentBased on the most recent information from CMS, provider Sara Ann Chase 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 ID1437257508Provider TypeIndividualFull NameChase, Sara AnnCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date9/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309Fax(802) 860-4324Mailing LocationMailing Address36 Brickyard Rd Unit 17, Essex Junction, VT 05452-4324Phone(802) 288-8051FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0890000936VermontProvider IdentifiersIDDescriptionIssuerID1009608DescriptionMedicaidIssuerUnlistedVermontID2294598DescriptionOtherIssuerCIGNA BEHAVIORAL HEALTHID59326DescriptionOtherIssuerBLUE CROSS BLUE SHIELDVermontID576755DescriptionOtherIssuerVALUE OPTIONS