MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
NPI 1154407419
Social Worker in Kenosha, WI
- Individual
- Male
- Social Worker
About MICHAEL DEFAZIO
This page provides the complete NPI Profile along with additional information for Michael Defazio, a provider established in Kenosha, Wisconsin with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1154407419 assigned on October 2006. The practitioner's primary taxonomy code is 104100000X with license number 1165 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1154407419 Verify this NPI
- Provider Name
- MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3734 7TH AVE STE 24 KENOSHA, WI 53140
- Location Phone
- (262) 654-0487
- Location Fax
- (262) 654-2434
- Mailing Address
- 3734 7TH AVE STE 24 KENOSHA, WI 53140
- Mailing Phone
- (262) 654-0487
- Mailing Fax
- (262) 654-2434
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-30-2006
- Last Update Date
- 09-11-2025
- Code Navigator
A social worker like Michael Defazio helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1165
- License State
- WI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 044 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39548700 | MEDICAID (05) | WI |
Reviews for MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
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Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
KENOSHA, WI 53140
KENOSHA, WI 53140
KENOSHA, WI 53140
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154407419, enumerated as an "individual" on October 30, 2006.
The provider is located at 3734 7TH AVE STE 24 KENOSHA, WI 53140 and the phone number is (262) 654-0487.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
