MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
NPI 1154407419
Social Worker in Kenosha, WI

Q: What is Michael Defazio's NPI number?

The NPI number for Michael Defazio is 1154407419. It was assigned to this individual provider in the NPPES registry on October 30, 2006.

Q: What is Michael Defazio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Defazio was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 30, 2006

3734 7TH AVE, STE 24, KENOSHA, WI 53140(262) 654-0487(262) 654-2434 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Michael A Defazio Mssw Licsw Cadc Iii NPPES

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

MR. MICHAEL A DEFAZIO MSSW LICSW CADC III (NPI 1154407419) is an individual social worker in Kenosha, Wisconsin, licensed in Wisconsin (1165) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154407419

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. MICHAEL A DEFAZIOCredential: MSSW LICSW CADC III

Location Address3734 7TH AVE, STE 24Kenosha, WI 53140

Mailing Address3734 7th Ave, Ste 24Kenosha, WI 53140 · (262) 654-0487 · Fax (262) 654-2434

Phone(262) 654-0487

Fax(262) 654-2434

Sole ProprietorNo

Enumeration DateOctober 30, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1154407419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · 1165

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 044 (WI)

3734 7TH AVE, Kenosha, WI 53140

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Other Identifiers 1

Medicaid39548700WI

Other Providers at the Same Location NPPES 16

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

LEILANE U STA ROMANA MDSC

Internal Medicine

3734 7TH AVE, DOMINICAN BUILDING SUITE 15
KENOSHA, WI 53140

Kenosha County (262) 658-3706

KATHRYN ANN AALTO LCSW

Social Worker (Clinical)

3734 7TH AVE, SUITE 12
KENOSHA, WI 53140

Kenosha County (262) 654-9370

ERNESTO BUENCAMINO MD SC

Internal Medicine

3734 7TH AVE, SUITE 11
KENOSHA, WI 53140

Kenosha County (262) 658-1678

MS. CORRIE RUTH LEE MSW, LCSW, SAC

Counselor (Addiction (Substance Use Disorder))

3734 7TH AVE, SUITE 24
KENOSHA, WI 53140

Kenosha County (262) 654-0487

MARY ANDREA KISHLINE MSW

Counselor

3734 7TH AVE, SUITE 24
KENOSHA, WI 53140

Kenosha County (262) 654-0487

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

Social Worker (Clinical)

3734 7TH AVE, SUITE 24
KENOSHA, WI 53140

Kenosha County (262) 654-0487

VICKI L BARTOW MSW

Social Worker (Clinical)

3734 7TH AVE, SUITE 12
KENOSHA, WI 53140

Kenosha County (262) 654-9370

PRADEEP G. KUMAR MD INC

Clinic/Center (Primary Care)

3734 7TH AVE, SUITE 1
KENOSHA, WI 53140

Kenosha County (262) 654-0226

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 Michael Defazio's NPI number?

The NPI number for Michael Defazio is 1154407419. It was assigned to this individual provider in the NPPES registry on October 30, 2006.

Where is Michael Defazio located?

Michael Defazio practices at 3734 7th Ave Ste 24, Kenosha, WI 53140. The listed phone number is (262) 654-0487.

What is Michael Defazio's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Defazio was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.