Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corynn Kathleen Wartgow, MSLPC, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912644048

Corynn Kathleen Wartgow, MSLPC, SAC-IT is a Mental Health Counselor in Menomonie, Wisconsin. Qualified in 2022, 4 years ago. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

800 Wilson Ave Rm 330
Menomonie, WI 54751-2746
Phone: (715) 256-7166
Fax: (888) 427-8048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11329-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19533-130 (WI)

Record details

NPI number1912644048
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSLPC , SAC-IT
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Menomonie