| Mr Willie-joe C Liberty, LCSW | |
|
9 Evergreen Ln, Richmond, ME 04357-4041 | |
| (207) 212-5584 | |
| Not Available |
| Full Name | Mr Willie-joe C Liberty |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 9 Evergreen Ln, Richmond, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215224233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC14369 (Maine) | Primary |
| Entity Name | Sweetser |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063716710 PECOS PAC ID: 1254245715 Enrollment ID: O20110408000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Willie-joe C Liberty, LCSW 9 Evergreen Ln, Richmond, ME 04357-4041 Ph: (207) 212-5584 | Mr Willie-joe C Liberty, LCSW 9 Evergreen Ln, Richmond, ME 04357-4041 Ph: (207) 212-5584 |
Paige Emerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Main St Apt 3, Richmond, ME 04357 Phone: 207-300-5960 | |
Agnieszka Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 24 Gardiner St, Richmond, ME 04357 Phone: 207-737-4359 |