CAROLYN GILLIS LIBERTY I LICSW
NPI 1750413639
Social Worker - Clinical in Middlebury, VT

Q: What is Carolyn Liberty's NPI number?

The NPI number for Carolyn Liberty is 1750413639. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Carolyn Mercier Gillis.

Q: What is Carolyn Liberty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Liberty was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment

89 MAIN ST, MIDDLEBURY, VT 05753(802) 388-6751 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Carolyn Gillis Liberty I Licsw NPPES

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

CAROLYN GILLIS LIBERTY I LICSW (NPI 1750413639) is an individual clinical provider in Middlebury, Vermont, licensed in Vermont (089-0001139) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2004).

NPPES Registry Identity

NPI1750413639

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCAROLYN GILLIS LIBERTY ICredential: LICSW

Location Address89 MAIN STMiddlebury, VT 05753-1459

Mailing AddressPo Box 1045Middlebury, VT 05753-5045

Phone(802) 388-6751

Sole ProprietorYes

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2004

Enumeration DateMarch 9, 2007

Last NPPES UpdateAugust 13, 2015

✔ NPI 1750413639 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 VT · 089-0001139

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.

89 MAIN ST, Middlebury, VT 05753

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Other Names 1

Former Name (1)Carolyn Mercier Gillis

Other Identifiers 2

Medicaid1015393VT

Medicare PIN493702VT

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

Carolyn Gillis Liberty I Licsw 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 ID7012095128

PECOS Enrollment IDI20080415000353

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

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.

155 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05753 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 $55.80 – $168.48

Typical copayment $0.00 (range $13.95 – $42.12)

Most-billed visit code NA

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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.

Other Providers at the Same Location NPPES 20

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

SHAWNA PLOOF

Counselor (Mental Health)