IndividualActive
Ilysa Davidson, LCSW
NPI 1164179867 · Clinical Social Worker · Brooklyn, NY
Ilysa Davidson, LCSW is a Clinical Social Worker provider in Brooklyn, NY (NPI 1164179867).
Provider details
- NPI number
- 1164179867
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- R051569-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
483 Clermont Ave Fl 2
Brooklyn, NY 11238-2253
Phone: (718) 643-5300
Fax: (718) 643-1592
Street-level locationGet directions
Mailing address
6910 108th St Apt 5l
Forest Hills, NY 11375-3821
Registry dates
- Enumerated
- 2022-03-03
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Frequently asked questions
- What is Ilysa Davidson's NPI number?
- Ilysa Davidson's National Provider Identifier (NPI) is 1164179867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilysa Davidson's specialty?
- Ilysa Davidson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ilysa Davidson located?
- Ilysa Davidson's practice location on file with NPPES is 483 Clermont Ave Fl 2, Brooklyn, NY 11238-2253.
- What is Ilysa Davidson's phone number?
- The practice phone number listed in the NPPES registry for Ilysa Davidson is (718) 643-5300.
- Is Ilysa Davidson's NPI active?
- Yes — Ilysa Davidson's NPI (1164179867) is active in the NPPES registry as of the last update on 2022-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.