Individual ProviderKatherine Marie RuggieroSocial WorkerBehavioral Health & Social Service ProvidersPractice Address617 Riverside Ave, Burlington, VT 05401-1601(802) 264-8189PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Marie Ruggiero 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 ID1598949869Provider TypeIndividualFull NameRuggiero, Katherine MarieTitleMs.CredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date12/21/2007Last Updated9/28/2011Contact InformationPractice LocationPractice Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 264-8189FaxUnlisted FaxMailing LocationMailing Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 264-8189FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089.0055532VermontCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW016262Pennsylvania