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
| NPI | 1336374925 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.W., L.C.S.W. |
| Sole proprietor | No |
| NPI issued | May 26, 2009 |
| Last updated in NPPES | Oct 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 7524-123 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 144 across 4 procedure codes |
| Paid by Medicare | $9,780 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Psychiatric and Psychotherapy Clinic L I Newman MD SC Gen PtrKenosha, WI · 7 clinicians
Other clinical social workers in Kenosha
- 1003526088
- 1013857432
- 1093148165
- 1104520840
- 1124791595
- 1144084674
- 1194118802
- 1245017201
- 1265027221
- 1346164423
- 1417018664
- 1477413672
All 106 clinical social workers in Kenosha · All clinical social workers in Wisconsin