MR. PAUL MICHAEL DEFAZIO (MSW) – Clinical Social Worker, NPI 1740326370

Clinical Social Worker

MR. PAUL MICHAEL DEFAZIO (MSW) is a healthcare provider. based in Kenosha, Wisconsin. specializing in Clinical Social Worker. They hold the professional credentials MSW. They hold a License No. 3123123 (WI). The NPI Number for MR. PAUL MICHAEL DEFAZIO (MSW) is 1740326370

Main info

Male

56 Years Of Experience

Accepts Medicare Assignment

Name

MR. PAUL MICHAEL DEFAZIO (MSW)

NPI

1740326370

Phone

(262) 654-0487

Address

3734 7TH AVENUE

Enumeration Date

30 January 2007

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2626540487

Graduation Year

1970 (56 years ago)

PAC ID

7416997069

Group Practice PAC ID

0547200198

Professional Enrollment ID

I20110322000935

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. PAUL MICHAEL DEFAZIO (MSW)

3734, 7th Avenue, Grant, Kenosha, Kenosha County, Wisconsin, 53140, United States
SUITE 24
KENOSHA, WI 53140
Phone: (262) 654-0487
Fax: (262) 654-2434
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0547200198View full group profile

Name	Specialty	State
DR. PUSHPARANEE BABUSUKUMAR (MD)	P S Y C H I A T R Y	WI
MS. CORRIE RUTH LEE (MSW, LCSW, SAC)	Clinical Social Worker	WI
LISA M DEFAZIO (M.S.W., L.C.S.W.)	Clinical Social Worker	WI
MARY C GIRSH-JENSEN (LCSW CSAC)	Clinical Social Worker	WI
KELLY SUE RENZONI (LCSW)	Clinical Social Worker	WI
ASHOKKUMAR K SHAH (M.D.)	P S Y C H I A T R Y	WI
JESSICA RUMMEL NADER (LCSW)	Clinical Social Worker	WI

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Frequently asked questions

How do I look up MR. PAUL MICHAEL DEFAZIO (MSW) by NPI?

Use NPI 1740326370 when you need to reference MR. PAUL MICHAEL DEFAZIO (MSW) in forms, claims, or directories.

Is MR. PAUL MICHAEL DEFAZIO (MSW) currently active in the NPI registry?

CMS-published data lists MR. PAUL MICHAEL DEFAZIO (MSW) as an active registrant.

What does MR. PAUL MICHAEL DEFAZIO (MSW) treat or focus on?

Patients typically see MR. PAUL MICHAEL DEFAZIO (MSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.

What location shows for MR. PAUL MICHAEL DEFAZIO (MSW)?

We surface Kenosha, Wisconsin for MR. PAUL MICHAEL DEFAZIO (MSW) based on available NPPES addresses.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.