Corazon Counseling And Wellness
Social Worker, Clinical in Poynette, WI. Organization (NPI-2).
NPI number1386401883
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1386401883
- Entity type
- Organization (NPI-2)
- Legal business name
- Corazon Counseling And Wellness
- Organization subpart
- No
- Enumeration date
- Mar 1, 2024
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
110 N Main StPoynette, WI 53955-9329
Phone 608-604-8609
Mailing address
110 N Main StPoynette, WI 53955-9329
Phone 608-604-8609
Authorized official
Brook Landeo
Mental Health Therapist
6086048609
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Poynette, WI
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- Velma Haag, ACSW, CICSWNPI 1851378988
- Brook Landeo, LCSWNPI 1730780511
All 5 Clinical Social Worker providers in Poynette · All 43 providers in Poynette
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