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LISA M DEFAZIO M.S.W., L.C.S.W.
NPI 1336374925
Social Worker - Clinical in Kenosha, WI

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140(262) 654-0487(262) 654-2434 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa M Defazio M.s.w., L.c.s.w. NPPES

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

LISA M DEFAZIO M.S.W., L.C.S.W. (NPI 1336374925) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (7524-123) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336374925
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA M DEFAZIOCredential: M.S.W., L.C.S.W.
Location Address3734 7TH AVE, SUITE 24Kenosha, WI 53140-5525
Mailing Address6125 Green Bay Rd, Ste 700Kenosha, WI 53142-2928 · (262) 654-0487 · Fax (262) 654-2434
Phone(262) 654-0487
Fax(262) 654-2434
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 26, 2009
Last NPPES UpdateOctober 10, 2019
✔ NPI 1336374925 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 · 7524-123
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.
3734 7TH AVE, Kenosha, WI 53140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health 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 and accepts Medicare assignment

Lisa M Defazio M.s.w., L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638352594
PECOS Enrollment IDI20110330000638
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 2

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.
81 services17 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
18 services12 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.

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
MR. MICHAEL A DEFAZIO MSSW LICSW CADC III
Social Worker
3734 7TH AVE, STE 24
KENOSHA, WI 53140
Kenosha County (262) 654-0487
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
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 Lisa Defazio's NPI number?

The NPI number for Lisa Defazio is 1336374925. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Lisa Defazio located?

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

What is Lisa Defazio's specialty?

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

Is Lisa Defazio enrolled in Medicare?

Yes. Lisa Defazio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Defazio accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare list Lisa Defazio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Defazio was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.