Individual provider · Type 1 NPI

Jacqueline Edwina Dombrowski, MSW, LCSW, CMT

Clinical Social Worker · Hartland, WI

NPI number 1922294040 Active

Practice location

300 Cottonwood Ave Ste 4
Hartland, WI 53029-2043

Call (414) 405-2486 Map

Fax (262) 367-3828

Mailing address

18705 Brookridge Dr
Brookfield, WI 53045-1029

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	7122-123 (WI)
Clinical Social Worker Primary	1041C0700X	7122-123 (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 1922294040

Jacqueline Edwina Dombrowski, MSW, LCSW, CMT's National Provider Identifier is 1922294040, issued on Sep 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartland, WI. The record was last updated on Sep 21, 2007.