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

Individual provider Clinical Social Worker · NPI 1891331872

Michael Anton Terry, LCSW, LISW is a Clinical Social Worker in Moline, Illinois. Licensed in Iowa and Illinois. Registered with an NPI since 2019.

Licensed in
IA, IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

524 15th St
Moline, IL 61265-2151
Phone: (309) 736-7170
Fax: (309) 736-7150
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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 149.011688 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 007851 (IA)

Record details

NPI number1891331872
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LISW
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESNovember 25, 2019

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