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GAIL MARIE LIBBY LCSW
NPI 1659438331
Social Worker - Clinical in Scarborough, ME

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
49 SPRING ST STE 201, SCARBOROUGH, ME 04074(207) 883-3491(207) 618-5026 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gail Marie Libby Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAIL MARIE LIBBY LCSW (NPI 1659438331) is an individual clinical provider in Scarborough, Maine, licensed in Maine (LC5591) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659438331
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAIL MARIE LIBBYCredential: LCSW
Location Address49 SPRING ST STE 201Scarborough, ME 04074-8926
Mailing Address49 Spring St Ste 201Scarborough, ME 04074-8926 · (207) 883-3491 · Fax (207) 618-5026
Phone(207) 883-3491
Fax(207) 618-5026
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1659438331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · LC5591
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
49 SPRING ST STE 201, Scarborough, ME 04074
Open in Google Maps ↗

Secondary Practice Locations 2

Location 124 Miles Center WayDamariscotta, ME 04543-4067 · Phone (207) 563-4250 · Fax (207) 810-4977
Location 249 Hooper StWiscasset, ME 04578-4053 · Phone (207) 882-7911 · Fax (207) 882-6178

Other Identifiers 1

Medicaid205250000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gail Marie Libby Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991840894
PECOS Enrollment IDI20100303000559
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
53 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMAL CHOUDHARY MD
Internal Medicine
49 SPRING ST STE 201
SCARBOROUGH, ME 04074
Cumberland County (207) 883-3491
EMILY H HARTNETT FNP-C
Nurse Practitioner (Family)
49 SPRING ST STE 201
SCARBOROUGH, ME 04074
Cumberland County (207) 883-3491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gail Libby's NPI number?

The NPI number for Gail Libby is 1659438331. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Gail Libby located?

Gail Libby practices at 49 Spring St Ste 201, Scarborough, ME 04074. The listed phone number is (207) 883-3491.

What is Gail Libby's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gail Libby enrolled in Medicare?

Yes. Gail Libby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gail Libby accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Gail Libby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gail Libby affiliated with any hospitals?

According to CMS data, Gail Libby is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Gail Libby was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.