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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA M DEFAZIO, M.S.W., L.C.S.W.

Active

LISA M DEFAZIO, M.S.W., L.C.S.W. is a Clinical Social Worker healthcare provider located in KENOSHA, Wisconsin. NPI 1336374925 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · KENOSHA, WI

Registration Details

NPI Number
1336374925
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2009 (17.19984548385 yrs)
Last Updated
Oct 10, 2019
License
7524-123 (WI)

Practice Information

Address
3734 7TH AVE
SUITE 24
KENOSHA, WI, 531405525
Browse WI providers · Browse ZIP 53140
Phone
2626540487
Fax
2626542434
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in KENOSHA, WI

Name Credential NPI
MS. KATHRYN L WEEKS LCSW 1447293097
AMY B ANDERSON MSW 1295766186
JANE POHL MSW 1265463152
LISA SACHS MSW 1700811965
LINDA M. TISO MSW, LCSW, SAC 1013937341
MS. KATHY L BANDSTRA LCSW 1952310625
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.