Search › Wisconsin › 1041C0700X
Faya Kacos-Shiu, LCSW
NPI 1194118802 · on the registry since 2015
Practice
- Address
- 4536 22nd Ave
Kenosha, WI 53140 - Phone
- (262) 656-0044
- Fax
- (262) 649-1977
- Organisation at this address
- Kenosha Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Additional practice sites
- 4006 Washington Rd, Kenosha, WI
- 903 S 2nd St, Silver Lake, WI
- 6226 14th Ave, Kenosha, WI
- 930 Dr Martin Luther King Dr, Racine, WI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin