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ILYSA MEMMER LCSW
NPI 1679172241
Social Worker in Warwick, NY

Active since October 23, 2020PECOS Enrolled
36 COLONIAL AVE, WARWICK, NY 10990(845) 544-1927 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2024, Oct 23, 2020 (2 updates tracked since 2020).

About Ilysa Memmer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILYSA MEMMER LCSW (NPI 1679172241) is an individual social worker in Warwick, New York, licensed in New York (097694) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679172241
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameILYSA MEMMERCredential: LCSW
Location Address36 COLONIAL AVEWarwick, NY 10990-1110
Mailing Address36 Colonial AveWarwick, NY 10990-1110 · (845) 544-1927
Phone(845) 544-1927
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 23, 2020
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1679172241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 097694
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
36 COLONIAL AVE, Warwick, NY 10990
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilysa Memmer Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486123494
PECOS Enrollment IDI20260519004525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WARWICK COUNSELING LICENSED SOCIAL WORKER PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
36 COLONIAL AVE
WARWICK, NY 10990
Orange County (845) 544-1927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilysa Memmer's NPI number?

The NPI number for Ilysa Memmer is 1679172241. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Ilysa Memmer located?

Ilysa Memmer practices at 36 Colonial Ave, Warwick, NY 10990. The listed phone number is (845) 544-1927.

What is Ilysa Memmer's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Ilysa Memmer enrolled in Medicare?

Yes. Ilysa Memmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilysa Memmer was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.