Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Gillis Liberty I, LICSW

Individual provider Clinical Social Worker · NPI 1750413639

Carolyn Gillis Liberty I, LICSW is a Clinical Social Worker in Middlebury, Vermont. Graduated from University of Vermont College of Medicine in 2004, 22 years ago. Practices with Counseling Service of Addison County Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
22
Trained at
University of Vermont College of Medicine
Licensed in
VT
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

89 Main St
Middlebury, VT 05753-1459
Phone: (802) 388-6751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089-0001139 (VT)

Record details

NPI number1750413639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Counseling Service Of Addison County Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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