MR. WILLIE-JOE C. LIBERTY (LCSW) – Social Worker, NPI 1215224233

MR. WILLIE-JOE C. LIBERTY (LCSW) is a healthcare provider. based in Rangeley, Maine. specializing in Social Worker. They hold the professional credentials LCSW. They hold a License No. LC14369 (ME). The NPI Number for MR. WILLIE-JOE C. LIBERTY (LCSW) is 1215224233

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIE-JOE C. LIBERTY (LCSW)
NPI
1215224233
Phone
(207) 864-2699
Address
PO BOX 569
Enumeration Date
29 June 2011
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077374359
Graduation Year
2011 (15 years ago)
PAC ID
8820229099
Group Practice PAC ID
5496726523
Professional Enrollment ID
I20140401001792
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MR. WILLIE-JOE C. LIBERTY (LCSW)

  • PO BOX 569

    RANGELEY, ME 049700569

    Phone: (207) 864-2699

    Fax: (207) 864-2969

    Type: Mailing

  • 24 GARDINER ST

    RICHMOND, ME 04357

    Phone: (207) 737-5349

    Type: Location

  • 9 EVERGREEN LN

    RICHMOND, ME 043574041

    Phone: (207) 212-5584

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140401001792IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04970)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496726523View full group profile
NameSpecialtyState
Clinical Social WorkerME
Family PracticeID
Clinical Social WorkerME
Nurse PractitionerWA
Nurse PractitionerNH
-ME
Nurse PractitionerME
Clinical Social WorkerME
Family PracticeME
-ME

Reviews

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Frequently asked questions

What identifier follows MR. WILLIE-JOE C. LIBERTY (LCSW) across health systems?
The NPI 1215224233 uniquely identifies MR. WILLIE-JOE C. LIBERTY (LCSW) in U.S. healthcare data.
Quick check: is MR. WILLIE-JOE C. LIBERTY (LCSW) active?
Public NPPES data shows MR. WILLIE-JOE C. LIBERTY (LCSW) with an active NPI status right now.
How should patients interpret MR. WILLIE-JOE C. LIBERTY (LCSW)'s specialty?
The extract shows Social Worker for MR. WILLIE-JOE C. LIBERTY (LCSW). Clinical services aligned with this taxonomy classification.
Can patients visit MR. WILLIE-JOE C. LIBERTY (LCSW) in Rangeley, Maine?
For routing, start with Rangeley, Maine for MR. WILLIE-JOE C. LIBERTY (LCSW), then verify phone and hours locally.
Why is information missing for MR. WILLIE-JOE C. LIBERTY (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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