Lurie, Samuel
Lurie, Samuel is an sole proprietor health care provider with primary practice located at 617 Riverside Ave , Burlington VT 05401-1601. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lurie, Samuel can be contacted via phone (802) 864-6309.Contact Information
Primary practice address
617 Riverside Ave
Burlington VT 05401-1601
Phone: (802) 864-6309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.0124189 | Vermont |
Profile Details
| NPI number | 1295279628 |
|---|---|
| LBN Legal business name | Lurie, Samuel |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2016 |
| Last updated | Aug 19th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295279628 | NPPES |
| Vermont | MEDICAID | 1029454 |
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