Corrie Ruth Lee, MSW, LCSW, SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14819-131 Issued in WI

Practice address

3734 7TH Ave
Suite 24
Kenosha, WI 53140-5525

Phone

(262) 654-0487

Fax

(262) 654-2434

NPI assigned

Mar 28, 2007

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 names 1

• Ms. Corrie Ruth Leopold Other name

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric and Psychotherapy Clinic L I Newman MD SC Gen PTRGroup PAC ID 0547200198, 7 clinicians

Practice addresses (Care Compare)

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.

• Psychiatric & Psychotherapy Clinic L I Newman MD SC Gen PTR

  • Addiction (Substance Use Disorder) Counselor
  • Kenosha, WI
  • NPI 1932312212
  Medicare reassignment Care Compare group NPD
• Neuropsychological Consultants Inc

  • Psychologist
  • Kenosha, WI
  • NPI 1013059187
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275652315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 7TH AVE",
            "address_2": "SUITE 24",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405525",
            "telephone_number": "262-654-0487",
            "fax_number": "262-654-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 7TH AVE",
            "address_2": "SUITE 24",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405525",
            "telephone_number": "262-654-0487",
            "fax_number": "262-654-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CORRIE",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "14819-131",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7331-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRIE",
            "last_name": "LEOPOLD",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura a Guttormsen DDS LLC
• Laura Sunn MD SC
• Dino Laurenzi Jr., L-ATC
• Matthew Lawler, DPT
• Carrie Jean Leber, APSW
• David Ansel Lee, DMD
• Drew Eunki Lee, M.D.
• Emily Ann Lee, PA-C
• Jennifer Lee
• Rand A Lee

• Addiction (Substance Use Disorder) Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.