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

Jacquelyn R. Lyngdal, LCSW

Individual provider Clinical Social Worker · NPI 1497443188

Jacquelyn R. Lyngdal, LCSW is a Clinical Social Worker in Racine, Wisconsin. Qualified in 1997, 29 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5600 Castle Ct Apt 101
Racine, WI 53406-4772
Phone: (262) 994-0206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10180 (WI)

Record details

NPI number1497443188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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