Irma R Ilustre, MSW, LICSW
Social Worker, Clinical in Tewksbury, Massachusetts
1649329921- Practice location
- 170 Main St, Unit G-02, Tewksbury, MA 01876-1765
- Phone
- 617-969-7600
- Fax
- 617-969-7646
- Last updated
- March 18, 2008
Irma R. Ilustre is a Social Worker, Clinical based in Tewksbury, MA. Irma R. Ilustre practices in Tewksbury, MA and has the professional credentials of MSW, LICSW. The NPI Number for Irma R. Ilustre is 1649329921 and holds a License No. 112172 (MA). The current practice location address for Irma R. Ilustre is 170 Main St, Unit G-02, Tewksbury, MA 01876-1765 and can be reached out via phone at 617-969-7600 and via fax at 617-969-7646.
Provider Profile Details
- NPI Number
- 1649329921
- Provider Name
- Irma R. Ilustre
- Credential
- MSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 170 Main St, Unit G-02, Tewksbury, MA 01876-1765
- Phone Number
- 617-969-7600
- Fax Number
- 617-969-7646
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 9, 2007
- Last Update Date
- March 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Main St
Unit G-02
Tewksbury, MA 01876-1765 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876-1765
- Phone Number
- 617-969-7600
- Fax Number
- 617-969-7646
Provider Business Mailing Address Details
- Address
- 12 Alfred St
Suite 200
Woburn, MA 01801-1915 - City
- Woburn
- State
- MA
- Zip
- 01801-1915
- Phone Number
- 781-646-0500
- Fax Number
- 781-646-7130
License Information
- License Number
- 112172
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Tewksbury, MA
View all Social Worker, Clinical providers in Tewksbury →- Banessa Gonell, MSWSocial Worker, Clinical · NPI 1407082753
- Beth M O'Connell, LICSWSocial Worker, Clinical · NPI 1447733050
- Bonnie Nessanbaum, LICSWSocial Worker, Clinical · NPI 1669452462
- Cassandra E Sampas, MSW, LICSWSocial Worker, Clinical · NPI 1861975229
- Charleen De Stefano, MSW, LICSWSocial Worker, Clinical · NPI 1346747714
- Christina V Hess, LCSWSocial Worker, Clinical · NPI 1619785326
Frequently Asked Questions
What is the NPI number of Irma R Ilustre, MSW, LICSW?
The NPI number of Irma R Ilustre, MSW, LICSW is 1649329921. It was assigned on January 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Irma R Ilustre, MSW, LICSW?
Irma R Ilustre, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 112172.
Where does Irma R Ilustre, MSW, LICSW practice?
The practice location is 170 Main St, Unit G-02, Tewksbury, MA 01876-1765. The office can be reached at 617-969-7600 (phone) or 617-969-7646 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649329921 directly on the NPPES registry website.