Individual provider · Type 1 NPI

Carolyn Gillis Liberty I, LICSW

Clinical Social Worker · Middlebury, VT

NPI number 1750413639 Active

Practice location

89 Main St
Middlebury, VT 05753-1459

Mailing address

PO Box 1045
Middlebury, VT 05753-5045

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089-0001139 (VT)

Clinical Social Worker: 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 interpers…

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About NPI 1750413639

Carolyn Gillis Liberty I, LICSW's National Provider Identifier is 1750413639, issued on Mar 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middlebury, VT. The record was last updated on Aug 13, 2015.