Individual ProviderEric L LeffSocial WorkerBehavioral Health & Social Service ProvidersPractice Address617 Riverside Ave, Burlington, VT 05401-1601(802) 864-6309PECOS EnrollmentBased on the most recent information from CMS, provider Eric L Leff 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 ID1902900483Provider TypeIndividualFull NameLeff, Eric LCredentialLICSWGenderMaleSole ProprietorNoEnumeration Date9/12/2006Last Updated5/31/2012Contact InformationPractice LocationPractice Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309FaxUnlisted FaxMailing LocationMailing Address617 Riverside Ave, Burlington, VT 05401-1601Phone(802) 864-6309FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089-0001084VermontProvider IdentifiersIDDescriptionIssuerID1014831DescriptionMedicaidIssuerUnlistedVermontID2649868DescriptionOtherIssuerCIGNA