Michael A. Defazio, MSSW LICSW CADC III
NPI 1154407419ActiveIndividual· Social Worker· Kenosha, WI
Social Worker (MSSW LICSW CADC III) in Kenosha, Wisconsin, licensed in WI, with an NPI issued in October 2006.
Overview
| NPI | 1154407419 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSSW LICSW CADC III |
| Sole proprietor | No |
| NPI issued | Oct 30, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 1165 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 044 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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