Individual provider · Type 1 NPI

Faya Kacos-Shiu, LCSW

Clinical Social Worker · Kenosha, WI

NPI number 1194118802 Active

Practice location

4536 22nd Ave
Kenosha, WI 53140-5917

Fax (262) 649-1977

Mailing address

4006 Washington Rd
Kenosha, WI 53144-4819

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11502123 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194118802

Faya Kacos-Shiu, LCSW's National Provider Identifier is 1194118802, issued on Mar 5, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kenosha, WI. The record was last updated on Jul 2, 2026.