Individual provider · Type 1 NPI
Jacquelyn R. Lyngdal, LCSW
Clinical Social Worker · Racine, WI
Practice location
5600 Castle Ct Apt 101
Racine, WI 53406-4772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 10180 (WI) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1497443188
Jacquelyn R. Lyngdal, LCSW's National Provider Identifier is 1497443188, issued on May 1, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Racine, WI. The record was last updated on Sep 27, 2025.