Kari Lynn Di Fonzo, LCSW,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7270 Issued in WI

Practice address

5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927

Phone

(262) 999-3495

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Counseling Services, Inc

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  Medicare reassignment NPD
• Port Washington Podiatry Inc

  • Podiatrist
  • Port Washington, WI
  • NPI 1013953926
  NPD
• Wheaton Franciscan Healthcare

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1154589463
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1508965906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "262-999-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N PORT WASHINGTON RD STE 200",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174927",
            "telephone_number": "262-999-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 W GRAND AVE STE 6",
            "address_purpose": "LOCATION",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742075",
            "country_code": "US",
            "telephone_number": "262-427-8905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 W Brown Deer Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Brown Deer",
            "state": "WI",
            "postal_code": "53209",
            "country_code": "US",
            "telephone_number": "414-540-2170",
            "fax_number": "414-540-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI FONZO",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7270123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40963200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joann Degner, LPC
• Eduardo Enrique Delgado, MD
• Dennis L Merritt LCSW PHD SC
• B. Hal Dessel, LCSW, CADC III
• Bradley J Dexter, LPC
• Kayla Diesner
• Digitrace Care Services, Inc
• Dimitrios P Bousounis MD
• Divine Horizon Pmhnp Services, LLC
• Divine Wellness & Counseling, LLC

• Clinical Social Worker in Glendale, WI
• Providers in Glendale, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.