MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
NPI 1154407419
Social Worker in Kenosha, WI
NPI Status: Active since October 30, 2006
Contact Information
3734 7TH AVE
STE 24
KENOSHA, WI
ZIP 53140
Phone: (262) 654-0487
Fax: (262) 654-2434
- 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
- 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 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154407419, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
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.
