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Lisa M. Defazio, M.S.W., L.C.S.W.

NPI 1336374925ActiveIndividual· Social Worker, Clinical· Kenosha, WI

Social Worker, Clinical (M.S.W., L.C.S.W.) with Psychiatric and Psychotherapy Clinic L I Newman MD SC Gen Ptr, practicing in Kenosha, Wisconsin. Medicare paid $9,780 for services to 25 patients in 2024.

Overview

NPI1336374925
StatusActive
Entity typeIndividual
CredentialM.S.W., L.C.S.W.
Sole proprietorNo
NPI issuedMay 26, 2009
Last updated in NPPESOct 10, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X7524-123WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients25
Services billed144 across 4 procedure codes
Paid by Medicare$9,780

Medicare sources and data years

Education and affiliations

Graduation year2006
Medicare specialtyClinical Social Worker
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Other clinical social workers in Kenosha

All 106 clinical social workers in Kenosha · All clinical social workers in Wisconsin