Individual provider · Type 1 NPI
Paul Michael Defazio, MSW
Clinical Social Worker · Kenosha, WI
Practice location
3734 7th Avenue, Suite 24
Kenosha, WI 53140
Fax (262) 654-2434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 3123123 (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 1740326370
Paul Michael Defazio, MSW's National Provider Identifier is 1740326370, issued on Jan 30, 2007. 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 8, 2007.