Provider Demographics
NPI:1801028410
Name:LUTZ, CHRISTINA LAUREL (MSW, LMSW-CC, LADC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LAUREL
Last Name:LUTZ
Suffix:
Gender:F
Credentials:MSW, LMSW-CC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DELTA DR
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4745
Mailing Address - Country:US
Mailing Address - Phone:207-856-7227
Mailing Address - Fax:207-856-2112
Practice Address - Street 1:1 DELTA DR
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4745
Practice Address - Country:US
Practice Address - Phone:207-856-7227
Practice Address - Fax:207-856-2112
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC21852101YM0800X
WARC60101365101YP2500X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional