Stephanie J Parent | Burlington, VT • PECOS Search

Stephanie J Parent

Social Worker

Behavioral Health & Social Service Providers

617 Riverside Ave, Burlington, VT 05401-1601

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie J Parent does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1811000375
Provider Type
Individual
Full Name
Parent, Stephanie J
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/17/2006
Last Updated
1/30/2019

Contact Information

Practice Location

617 Riverside Ave, Burlington, VT 05401-1601

Unlisted Fax

Mailing Location

617 Riverside Ave, Burlington, VT 05401-1601

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 089.0098676 Vermont