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

Lisa M Defazio, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1336374925

Lisa M Defazio, MSW, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Qualified in 2006, 20 years ago. Practices with Psychiatric and Psychotherapy Clinic L I Newman MD SC Gen Ptr, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2009
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3734 7th Ave Ste 24
Kenosha, WI 53140-5525
Phone: (262) 654-0487
Fax: (262) 654-2434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7524-123 (WI)

Record details

NPI number1336374925
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedMay 26, 2009
Last updated in NPPESOctober 10, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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