MR. MICHAEL DEFAZIO, MSSW LICSW CADC III
Social Worker
Active
Individual
NPI: 1154407419
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 044 (WI) |
| Social Worker | 104100000X | Yes | 1165 (WI) |
Frequently Asked Questions
NPI 1154407419 is the National Provider Identifier for MR. MICHAEL DEFAZIO, MSSW LICSW CADC III, a Social Worker provider located in Kenosha, WI. This NPI was enumerated on October 30, 2006.
MR. MICHAEL DEFAZIO, MSSW LICSW CADC III practices at 3734 7TH AVE, STE 24, Kenosha, WI 53140.
Quick Facts
- NPI
- 1154407419
- Type
- Individual
- Enumerated
- Oct 30, 2006
- Last Updated
- Sep 11, 2025
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