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

Marisa Marie Dicamillo

Individual provider Mental Health Counselor · NPI 1659092336

Marisa Marie Dicamillo is a Mental Health Counselor in Brooklyn, New York. Qualified in 2022, 4 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone: (929) 273-7601
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 016921 (NY)

Record details

NPI number1659092336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2022
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brooklyn