Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FAYA KACOS-SHIU LCSW
NPI 1194118802
Social Worker - Clinical in Kenosha, WI

Q: What is Faya Kacos-shiu's NPI number?

The NPI number for Faya Kacos-shiu is 1194118802. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Q: What is Faya Kacos-shiu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Faya Kacos-shiu was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 March 05, 2015PECOS Enrolled

4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044(262) 649-1977 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Oct 20, 2020 (2 updates tracked since 2020).

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About Faya Kacos-shiu Lcsw NPPES

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

FAYA KACOS-SHIU LCSW (NPI 1194118802) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (11502123) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194118802

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameFAYA KACOS-SHIUCredential: LCSW

Location Address4536 22ND AVEKenosha, WI 53140-5917

Mailing Address4006 Washington RdKenosha, WI 53144-4819 · (262) 656-0044 · Fax (262) 649-1977

Phone(262) 656-0044

Fax(262) 649-1977

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 5, 2015

Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1194118802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 11502123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4536 22ND AVE, Kenosha, WI 53140

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Secondary Practice Locations 4

Location 16226 14th AveKenosha, WI 53143-4413 · Phone (262) 656-0044

Location 2903 S 2nd StSilver Lake, WI 53170-1747 · Phone (262) 656-0044

Location 34006 Washington RdKenosha, WI 53144-4819 · Phone (262) 656-0044

Location 4930 Dr Martin Luther King DrRacine, WI 53404-3008 · Phone (262) 656-0044

Other Identifiers 2

Medicaid366006600IL

Medicaid100321033WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faya Kacos-shiu Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173884392

PECOS Enrollment IDI20250522003288

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

205 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

DR. CESAR D GONZALEZ DDS

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