Kacos-Shiu, Faya

Kacos-Shiu, Faya is an individual health care provider with primary practice located at 4536 22Nd Ave , Kenosha WI 53140-5917. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kacos-Shiu, Faya can be contacted via phone (262) 656-0044.

Contact Information

Primary practice address
4536 22Nd Ave Kenosha WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 649-1977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11502123 Wisconsin

Profile Details

NPI number 1194118802
LBN Legal business name Kacos-Shiu, Faya
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2015
Last updated Jul 2nd, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194118802 NPPES
Illinois MEDICAID 366006600
Illinois MEDICAID 100321033

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