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

Mr. Terry Ellis Real, LICSW

Individual provider Clinical Social Worker · NPI 1508479106

Mr. Terry Ellis Real, LICSW is a Clinical Social Worker in Arlington, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

754 Massachusetts Avene
Arlington, MA 02476
Phone: (781) 646-7326
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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 104674 (MA)

Record details

NPI number1508479106
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESAugust 25, 2020
Certification dateAugust 20, 2020

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