Faya Kacos-shiu, LCSW in Kenosha, WI - Medicare Clinical Social Worker Provider

Faya Kacos-shiu, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Counseling Center Of Grayslake Ltd, Kenosha Community Health Center, Inc. and her current practice location is 4536 22nd Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 656-0044.

Faya Kacos-shiu is licensed to practice in Wisconsin (license number 11502123) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1194118802.

Contact Information

	Faya Kacos-shiu, LCSW
	4536 22nd Ave, Kenosha, WI 53140-5917
	(262) 656-0044
	(262) 649-1977

Map and Direction

Healthcare Provider's Profile

Full Name	Faya Kacos-shiu
Gender	Female
Speciality	Clinical Social Worker
Experience	12 Years
Location	4536 22nd Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Faya Kacos-shiu graduated from medical school in 2014

NPI Data:

NPI Number: 1194118802
Provider Enumeration Date: 03/05/2015
Last Update Date: 03/02/2026

Medicare PECOS Information:

PECOS PAC ID: 3173884392
Enrollment ID: I20180305002258

Medical Identifiers

Medical identifiers for Faya Kacos-shiu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194118802	NPI	-	NPPES
366006600	Medicaid	IL
100321033	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11502123 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Counseling Center Of Grayslake Ltd	7214214378	10
Kenosha Community Health Center, Inc.	0941195168	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Faya Kacos-shiu allows following entities to bill medicare on her behalf.

Entity Name	Ganesha Institute Of Neurology And Psychiatry Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629478599 PECOS PAC ID: 0042432296 Enrollment ID: O20141104000962

Entity Name	Counseling Center Of Grayslake Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194267385 PECOS PAC ID: 7214214378 Enrollment ID: O20170427002620

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Faya Kacos-shiu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Faya Kacos-shiu, LCSW 4006 Washington Rd, Kenosha, WI 53144-4819 Ph: (262) 656-0044	Faya Kacos-shiu, LCSW 4536 22nd Ave, Kenosha, WI 53140-5917 Ph: (262) 656-0044

Reviews and Comments

Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
Stephani Diagne, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4870
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Hannah Davidson, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4006 Washington Rd, Kenosha, WI 53144 Phone: 262-656-0044 Fax: 262-649-1977

Faya Kacos-shiu, LCSW - Medicare Clinical Social Worker in Kenosha, WI