Mr. Michael A Defazio is a Kenosha, Wisconsin based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mr. Michael A Defazio is 1165 for Social Worker in Wisconsin. His current practice location is 3734 7th Ave, Ste 24, Kenosha. Patients can book an appointment with him at 262-654-0487.
Mr. Michael A Defazio is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mr. Michael A Defazio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Michael A Defazio
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
MSSW LICSW CADC III
Accepts Medicare Assignment:
No
Practice Address:
3734 7th Ave, Ste 24, Kenosha, Wisconsin, 53140
Phone:
262-654-0487
Fax:
262-654-2434
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1154407419
NPI Enumeration Date:
30 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael A Defazio are as mentioned below.
License Number
Specialization
State
Status
1165
Social Worker
Wisconsin
Primary
044
Addiction (Substance Use Disorder) Counselor
Wisconsin
Secondary
1165
Social Worker
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Michael A Defazio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
39548700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3734 7th Ave, Ste 24 Kenosha, Wisconsin
Zip:
53140
Phone Number:
262-654-0487
Fax Number:
262-654-2434
Patients can reach Mr. Michael A Defazio at 3734 7th Ave, Ste 24, Kenosha, Wisconsin or can call to book an appointment on 262-654-0487. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.