| Annie Lawson Licsw Llc | |
|
267 Pearl St Ste 10 Burlington VT 05401-8543 | |
| (802) 343-5169 | |
| Not Available |
| Full Name | Annie Lawson Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 267 Pearl St Ste 10, Burlington, Vermont |
| Authorized Official Name and Position | Anne Lawson (OWNER/EMPLOYER) |
| Authorized Official Contact | 8023435169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Lawson Licsw Llc 51 Staniford Rd Burlington VT 05408-2437 Ph: (802) 343-5169 | Annie Lawson Licsw Llc 267 Pearl St Ste 10 Burlington VT 05401-8543 Ph: (802) 343-5169 |
| NPI Number | 1306551718 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 0749655066 |
|---|---|
| Medicare Enrollment ID | O20230418002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306551718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anne Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770004566 PECOS PAC ID: 0941572408 Enrollment ID: I20170817001896 |
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