Individual provider

Michael Defazio, MSSW LICSW CADC III

Addiction (Substance Use Disorder) Counselor Social Worker

Michael Defazio, MSSW LICSW CADC III is a provider specialising in Social Worker in Kenosha, WI, registered under NPI 1154407419. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3734 7TH AVE STE 24, Kenosha, WI 53140. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3734 7TH AVE STE 24, Kenosha, WI 53140 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
044 WI Addiction (Substance Use Disorder)…
1165 WI Social Worker primary

This provider holds licence 044 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Social Worker covers

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. NUCC Health Care Provider Taxonomy, code 104100000X
Behavioral Health & Social Service Providers Social Worker

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 044 WI
104100000X Social Worker 1165 WI primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1154407419 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 30, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
GenderMale
CredentialMSSW LICSW CADC III
Practice address 3734 7TH AVE
STE 24
Kenosha, WI 53140
(262) 654-0487
Fax (262) 654-2434
Other identifiers 39548700 · Medicaid (WI)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1154407419 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 4 0 7 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 8 0 5 4 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154407419?
NPI 1154407419 is the National Provider Identifier assigned to Michael Defazio, MSSW LICSW CADC III in Kenosha, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Social Worker cover?
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…
How do I contact Michael Defazio, MSSW LICSW CADC III?
The phone number on file with NPPES is (262) 654-0487, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1154407419 a valid number?
Yes. 1154407419 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.