Individual
MR. SAMUEL LURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
Mailing address
80 AUSTIN DR APT 173, BURLINGTON, VT 05401-5483
(802) 578-8391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0124189
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029454
—
VT
Enumeration date
12/03/2016
Last updated
08/19/2025
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