Individual ProviderSienna FontaineSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1 Mill St Ste 324, Burlington, VT 05401-1554(802) 318-2993PECOS EnrollmentBased on the most recent information from CMS, provider Sienna Fontaine 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 ID1659890507Provider TypeIndividualFull NameFontaine, SiennaCredentialLICSW, LADC, MSWGenderFemaleSole ProprietorYesEnumeration Date9/12/2017Last Updated2/7/2024Contact InformationPractice LocationPractice Address1 Mill St Ste 324, Burlington, VT 05401-1554Phone(802) 318-2993FaxUnlisted FaxMailing LocationMailing Address1 Mill St Ste 324, Burlington, VT 05401-1554Phone(802) 318-2993FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089-0130118VermontCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense151.0134047VermontProvider IdentifiersIDDescriptionIssuerID1031471DescriptionMedicaidIssuerUnlistedVermont