Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Faya Kacos-Shiu, LCSW

Individual provider Clinical Social Worker · NPI 1194118802

Faya Kacos-Shiu, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Qualified in 2014, 12 years ago. Practices with Kenosha Community Health Center, Inc, a 20-clinician group and works from 5 locations. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

4536 22nd Ave
Kenosha, WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 649-1977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 6226 14th Ave, Kenosha, WI 53143-4413 — (262) 656-0044
  • 4006 Washington Rd, Kenosha, WI 53144-4819 — (262) 656-0044
  • 930 Dr Martin Luther King Dr, Racine, WI 53404-3008 — (262) 656-0044
  • 903 S 2nd St, Silver Lake, WI 53170-1747 — (262) 656-0044

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11502123 (WI)

Record details

NPI number1194118802
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kenosha Community Health Center, Inc. — 20 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kenosha