Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL A DEFAZIO, MSSW LICSW CADC III
ActiveMR. MICHAEL A DEFAZIO, MSSW LICSW CADC III is a Social Worker healthcare provider located in KENOSHA, Wisconsin. NPI 1154407419 is currently active in the NPPES registry. Verify at CMS.
Social Worker · KENOSHA, WI
Registration Details
- NPI Number
- 1154407419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2006 (19.750401132871 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
044 (WI)1165 (WI)
Practice Information
- Address
-
3734 7TH AVESTE 24KENOSHA, WI, 53140Browse WI providers · Browse ZIP 53140
- Phone
- 2626540487
- Fax
- 2626542434
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| JULIA GURSSLIN | MSW | 1215043641 |
| LESLIE ANN KONEK-SCHLAX | LCSW | 1972663870 |
| MR. STEVEN DONALD KLOPSTEIN | B.S. | 1194880724 |
| MR. NICHOLAS AARON POTTER | B.A. | 1598950123 |
| MRS. ANNA M SLAWNY | M.S. | 1104011170 |
| MRS. LORA REINDERS | LCSW | 1730347451 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.