Active NPIIndividual providerSole proprietor

Carolyn G Liberty I, LICSW

Social Worker, Clinical in Middlebury, Vermont

NPI Number1750413639
Practice location
89 Main St, Middlebury, VT 05753-1459
Fax
—
Last updated
August 13, 2015

Carolyn Gillis Liberty is a Social Worker, Clinical based in Middlebury, VT. Carolyn Gillis Liberty practices in Middlebury, VT and has the professional credentials of LICSW. The NPI Number for Carolyn Gillis Liberty is 1750413639 and holds a License No. 089-0001139 (VT). The current practice location address for Carolyn Gillis Liberty is 89 Main St, Middlebury, VT 05753-1459 and can be reached out via phone at 802-388-6751.

Provider Profile Details

NPI Number
1750413639
Provider Name
Carolyn Gillis Liberty
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
89 Main St, Middlebury, VT 05753-1459
Phone Number
802-388-6751
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Carolyn Mercier Gillis (Former Name)
Provider Enumeration Date
March 9, 2007
Last Update Date
August 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Main St
Middlebury, VT 05753-1459
State
Vermont
Zip
05753-1459
Phone Number
802-388-6751
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
Po Box 1045
Middlebury, VT 05753-5045
City
Middlebury
State
VT
Zip
05753-5045

License Information

License Number
089-0001139
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carolyn G Liberty I, LICSW?

The NPI number of Carolyn G Liberty I, LICSW is 1750413639. It was assigned on March 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Carolyn G Liberty I, LICSW?

Carolyn G Liberty I, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0001139.

Where does Carolyn G Liberty I, LICSW practice?

The practice location is 89 Main St, Middlebury, VT 05753-1459. The office can be reached at 802-388-6751 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750413639 directly on the NPPES registry website.

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