CORYNN KATHLEEN WARTGOW MS LPC SAC-IT NPI 1912644048

NPI Information

  • NPI: 1912644048
  • Provider Name: CORYNN KATHLEEN WARTGOW, MS LPC, SAC-IT
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 800 WILSON AVE RM 330
    MENOMONIE, WI
    ZIP 54751
  • Phone: (715) 256-7166

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NPI Details

Corynn Kathleen Wartgow, MS LPC, SAC-IT is a professional counselor in Menomonie, WI. Corynn Kathleen Wartgow, MS LPC, SAC-IT NPI is 1912644048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 WILSON AVE RM 330
MENOMONIE, WI
ZIP 54751-746
Phone: (715) 256-7166
Fax: (888) 427-8048

The enumeration date for this NPI number is 5/19/2022 and was last updated on 3/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)19533-130WISCONSINNo
2101YP2500XCounselorProfessional11329-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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