Individual ProviderMindy W EvninSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1 S Prospect St, Burlington, VT 05401-3456(802) 847-4560(802) 863-4002PECOS EnrollmentBased on the most recent information from CMS, provider Mindy W Evnin 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 ID1649280439Provider TypeIndividualFull NameEvnin, Mindy WTitleMs.CredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date8/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1 S Prospect St, Burlington, VT 05401-3456Phone(802) 847-4560Fax(802) 847-8747Mailing LocationMailing Address81 Hayes Ave, South Burlington, VT 05403-7249Phone(802) 863-4002FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089-0000166VermontProvider IdentifiersIDDescriptionIssuerID0VN1974DescriptionMedicaidIssuerUnlistedVermont