Provider Demographics
NPI:1881805919
Name:BELTER, LUCY ANN (LCMT, LICSW)
Entity type:Individual
Prefix:MS
First Name:LUCY
Middle Name:ANN
Last Name:BELTER
Suffix:
Gender:F
Credentials:LCMT, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BOSTON ST
Mailing Address - Street 2:STE. 203
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-2200
Mailing Address - Country:US
Mailing Address - Phone:978-887-0101
Mailing Address - Fax:
Practice Address - Street 1:218 BOSTON ST
Practice Address - Street 2:STE. 203
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-2200
Practice Address - Country:US
Practice Address - Phone:978-887-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10202661041C0700X
MA3877225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist