Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irma R. Ilustre, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1649329921

Irma R. Ilustre, MSW, LICSW is a Clinical Social Worker in Tewksbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

170 Main St Unit G-02
Tewksbury, MA 01876-1765
Phone: (617) 969-7600
Fax: (617) 969-7646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 112172 (MA)

Record details

NPI number1649329921
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESMarch 18, 2008
Mailing address12 Alfred St, Suite 200, Woburn, MA 01801-1915

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