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Mr. Michael A Defazio, MSSWLICSWCADCIII
Social Worker in Kenosha, Wisconsin
NPI 1154407419

Michael A Defazio is a Social Worker based in Kenosha, WI. Michael A Defazio practices in Kenosha, WI and has the professional credentials of MSSWLICSWCADCIII. The NPI Number for Michael A Defazio is 1154407419 and holds a License No. 044 (Wisconsin).

The current practice location address for Michael A Defazio is 3734 7Th Ave, Kenosha, WI and can be reached out via phone at 262-654-0487 and via fax at 262-654-2434.

Location: 3734 7Th Ave, Kenosha, WI, 53140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154407419
Provider Name
Michael A Defazio
Credential
MSSWLICSWCADCIII
Provider Entity Type
Individual
Gender
Male
Address
3734 7Th Ave, Kenosha, WI, 53140
Phone Number
262-654-0487
Fax Number
262-654-2434
Provider Enumeration Date
10/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39548700 05 WI
institution
Provider Business Practice Location Address Details
Address
3734 7Th Ave
City
Kenosha
State
Wisconsin
Zip
53140
Phone Number
262-654-0487
Fax Number
262-654-2434
person
Provider Business Mailing Address Details
Address
3734 7Th Ave
City
Kenosha
State
Wisconsin
Zip
53140
Phone Number
262-654-0487
Fax Number
262-654-2434
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1165 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
044 (Wisconsin)
Definition
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.
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