IRMA R. ILUSTRE MSW, LICSW
NPI 1649329921
Social Worker - Clinical in Tewksbury, MA

Active since January 09, 2007
170 MAIN ST, UNIT G-02, TEWKSBURY, MA 01876(617) 969-7600(617) 969-7646 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irma R. Ilustre Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRMA R. ILUSTRE MSW, LICSW (NPI 1649329921) is an individual clinical provider in Tewksbury, Massachusetts, licensed in Massachusetts (112172) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649329921
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIRMA R. ILUSTRECredential: MSW, LICSW
Location Address170 MAIN ST, UNIT G-02Tewksbury, MA 01876-1765
Mailing Address12 Alfred St, Suite 200Woburn, MA 01801-1915 · (781) 646-0500 · Fax (781) 646-7130
Fax(617) 969-7646
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 18, 2008
NPI 1649329921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 112172
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
170 MAIN ST, Tewksbury, MA 01876

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
170 MAIN ST, WILLIAMSBURG PARK G-06
TEWKSBURY, MA 01876
Home Health
170 MAIN ST, UNIT 112
TEWKSBURY, MA 01876
Nurse Practitioner (Family)
170 MAIN ST
TEWKSBURY, MA 01876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irma Ilustre's NPI number?

The NPI number for Irma Ilustre is 1649329921. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Irma Ilustre located?

Irma Ilustre practices at 170 Main St Unit G-02, Tewksbury, MA 01876. The listed phone number is (617) 969-7600.

What is Irma Ilustre's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Irma Ilustre was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.