Ilysa Memmer, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

097694 Issued in NY

Practice address

36 Colonial Ave
Warwick, NY 10990-1110

Phone

(845) 544-1927

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Warwick Counseling Licensed Social Worker PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warwick, NY
  • NPI 1306724364
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1679172241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 COLONIAL AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901110",
            "telephone_number": "845-544-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 COLONIAL AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901110",
            "telephone_number": "845-544-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMMER",
        "first_name": "ILYSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn McCafferty-Algiere, M.S,, CCC/SLP
• Mary McConnell, LPN
• Erin McCutchan
• Owen McShane, DDS
• Victoria A Meehan, OTR/L
• Kamalam Nandakumar Menon, MD
• Merchant Square Dental P.L.L.C
• Stacey Miehe
• Tanya Mighty
• Colleen Miller

• Social Worker in Warwick, NY
• Providers in Warwick, 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 Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.