Marisa Ilnicki-Velez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

111497 Issued in NY

Practice address

4 Avis Dr Ste 101
Latham, NY 12110-2650

Phone

(518) 560-4277

Fax

(518) 662-4277

NPI assigned

Jul 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freedom First Psychological Services, PLLC

  • Counseling Psychologist
  • Latham, NY
  • NPI 1225487713
  NPD
• Romero Oncology, PLLC

  • Medical Oncology Physician
  • Latham, NY
  • NPI 1942664768
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1093488249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277",
            "fax_number": "518-662-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277",
            "fax_number": "518-662-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILNICKI-VELEZ",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan T Hunt, RA
• Samantha Marion Hutchins, PA-C
• Heather K Hutchison, MA, ATR-BC, LCAT
• Matthew D Iannon
• Rachael Ignaszak, M.S.
• Sonya Ingram, MS, ED.
• Integrative Chiropractic Performance PLLC
• Intraoperative Neurology Services PC
• Jennifer Lynn Iovinelli, FNP
• Shayna Beth Ireland, MS CCC SLP

• Social Worker in Latham, NY
• Providers in Latham, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.