Provider Demographics
NPI:1164639126
Name:BELCHER, ELIZABETH M (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:M
Last Name:BELCHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 EVERGREEN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1470
Mailing Address - Country:US
Mailing Address - Phone:781-585-8119
Mailing Address - Fax:781-585-8199
Practice Address - Street 1:68 EVERGREEN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1470
Practice Address - Country:US
Practice Address - Phone:781-585-8119
Practice Address - Fax:781-585-8199
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical