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

Ilysa Memmer, LCSW

Individual provider Social Worker · NPI 1679172241

Ilysa Memmer, LCSW is a Clinical Social Worker in Warwick, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

36 Colonial Ave
Warwick, NY 10990-1110
Phone: (845) 544-1927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 097694 (NY)

Record details

NPI number1679172241
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 23, 2020
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address36 Colonial Ave, Warwick, NY 10990-1110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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