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

Individual provider Clinical Social Worker · NPI 1164179867

Ilysa Helene Davidson, LCSW is a Clinical Social Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

483 Clermont Ave Fl 2
Brooklyn, NY 11238-2253
Phone: (718) 643-5300
Fax: (718) 643-1592
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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 R051569-01 (NY)

Record details

NPI number1164179867
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 3, 2022
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

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