Lisa M Defazio
PSYCHIATRIC AND PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR


Address: 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Phone: 2626540487

Lisa M Defazio (NPI# 1336374925, PAC ID# 9638352594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1336374925
PAC ID by PECOS 9638352594
Professional Enrollment ID I20110330000638
Full Name Lisa M Defazio
Organization Legal Name PSYCHIATRIC AND PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR
Address 6125 Green Bay Rd
Suite 700
Kenosha
WI 53142-2928
Phone Number 2626540487
Gender F
Graduation Year 2006
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 0547200198
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 2626540487 PSYCHIATRIC AND PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR

Organization Information

Organization Legal Name PSYCHIATRIC AND PSYCHOTHERAPY CLINIC L I NEWMAN MD SC GEN PTR
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Pushparanee Babusukumar Psychiatry Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Tom A Defrancesco Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Corrie R Lee Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Mary Girsh-jensen Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Ashokkumar K Shah Psychiatry Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Paul M Defazio Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Jessica Rummel Busch Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928

Office Location

Street Address 6125 GREEN BAY RD
SUITE 700
City KENOSHA
State WI
Zip 53142-2928

Physicians in the same location

Name Specialty Organization Address
Pushparanee Babusukumar Psychiatry Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Tom A Defrancesco Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Donna J Hayes Podiatry 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928
Corrie R Lee Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Mary Girsh-jensen Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Sharee Lanee Chance-lawson Family Medicine Independent Physicians of Wisconsin LLC 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928
Ganesh N Pulla Nephrology Surya Medical Group Sc 6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2942
Victor S Slana Ophthalmology 6125 Green Bay Rd, Suite 800, Kenosha, WI 53142-2982
Ashokkumar K Shah Psychiatry Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Paul M Defazio Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Randall J Hammett Chiropractic 6500 67th St, Kenosha, WI 53142-1403
Laurie Sasso Clinical Social Worker Wellqor Psychological Services of Wisconsin, S.c. 6300 67th St, Kenosha, WI 53142-1437
Rodrigo B Mata Iii Internal Medicine 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927
Nancy Guadagno Clinical Social Worker 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927
Shellie Kaye Babcock Clinical Social Worker 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927
Chad E Sloden Chiropractic Sports and Family Chiropractic LLC 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927
Nicholas Joseph Hollendonner Chiropractic Sports and Family Chiropractic LLC 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927
Jessica Rummel Busch Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Jennifer R Sarafin Clinical Social Worker Fleming Psychological Services Sc 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929
Ann M Fleming Clinical Social Worker Fleming Psychological Services Sc 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2929
Find all physicians in zip 53142

Competitor

Search similar physicians

City KENOSHA
Zip Code 53142
Specialty CLINICAL SOCIAL WORKER
City + Specialty KENOSHA + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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