Search › Wisconsin › 104100000X
Michael Defazio, MSSW LICSW CADC III
NPI 1154407419 · on the registry since 2006
Practice
- Address
- 3734 7th Ave
Ste 24
Kenosha, WI 53140 - Phone
- (262) 654-0487
- Fax
- (262) 654-2434
- Organisation at this address
- Pradeep G. Kumar Md Inc
Ernesto Buencamino Md Sc
Steven M Schwimmer, D.O.
Leilane U Sta Romana MdscInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin