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LIBERTY TREATMENT PLLC
NPI 1942019583
Social Worker - Clinical in Hampstead, NC

Active since January 07, 2025
95 H2O PL STE 11, HAMPSTEAD, NC 28443(910) 996-3115(910) 613-0016 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Jul 31, 2026, Apr 16, 2026 and 5 more (8 updates tracked since 2025).

About Liberty Treatment Pllc NPPES

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

LIBERTY TREATMENT PLLC (NPI 1942019583) is a healthcare organization registered as a clinical in Hampstead, North Carolina and active in the NPI registry since January 2025. The organization lists Gina Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1942019583
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIBERTY TREATMENT PLLC
Location Address95 H2O PL STE 11Hampstead, NC 28443
Mailing Address1144 Western Blvd # 1122Jacksonville, NC 28546-6651 · (910) 996-3115 · Fax (910) 613-0016
Phone(910) 996-3115
Fax(910) 613-0016
Organization SubpartNo
Authorized OfficialGina RoseOwner · (910) 996-3115
Enumeration DateJanuary 7, 2025
Last NPPES UpdateAugust 10, 20268 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1942019583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
95 H2O PL STE 11, Hampstead, NC 28443
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Treatment Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Liberty Treatment PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gina Rose, LCSW
Clinical Social Worker
NPI 1194185686
95 H2O PL STE 11
Hampstead, NC 28443
(910) 996-3115
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Liberty Treatment PLLC's NPI number?

The NPI number for Liberty Treatment PLLC is 1942019583. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Liberty Treatment PLLC located?

Liberty Treatment PLLC is located at 95 H2o Pl Ste 11, Hampstead, NC 28443. The listed phone number is (910) 996-3115.

What is Liberty Treatment PLLC's specialty?

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

Is Liberty Treatment PLLC enrolled in Medicare?

Yes. Liberty Treatment PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Treatment PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Liberty Treatment PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Liberty Treatment PLLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.