Individual provider Active NPI

Jessica Belter, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1811526841
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18430 Issued in AZ
Practice address
3009 E Elm St # 1
Tucson, AZ 85716-3124
Phone
(520) 500-7908
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18430 AZ Primary

Addresses

Primary practice location

3009 E Elm St # 1
Tucson, AZ 85716-3124

Mailing address

3009 E Elm St # 1
Tucson, AZ 85716-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18430AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Belter LCSW PLLC Clinical CurrentSince Nov 8, 2020 Accepting new patients
Casa de Los Ninos, Inc. PastSince Oct 10, 2021 Accepting new patients
Casa de Los Ninos PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1811526841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 E ELM ST # 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 E ELM ST # 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163124",
            "telephone_number": "520-500-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTER",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.