Individual ProviderJeanne SullivanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2 Church St, Burlington, VT 05401-4299(802) 999-5100PECOS EnrollmentBased on the most recent information from CMS, provider Jeanne Sullivan is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1851685515Provider TypeIndividualFull NameSullivan, JeanneCredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date5/30/2011Last Updated5/30/2011Contact InformationPractice LocationPractice Address2 Church St, Burlington, VT 05401-4299Phone(802) 999-5100FaxUnlisted FaxMailing LocationMailing Address39 Woodbury Rd, Burlington, VT 05408-5723Phone(802) 999-5100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0980000760Vermont