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

MS. Jacqueline Edwina Dombrowski, MSW, LCSW, CMT

Individual provider Mental Health Counselor · NPI 1922294040

MS. Jacqueline Edwina Dombrowski, MSW, LCSW, CMT is a Mental Health Counselor in Hartland, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

300 Cottonwood Ave Ste 4
Hartland, WI 53029-2043
Phone: (414) 405-2486
Fax: (262) 367-3828
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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 7122-123 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 7122-123 (WI)

Record details

NPI number1922294040
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , CMT
Sole proprietorYes
NPI enumeratedSeptember 21, 2007
Last updated in NPPESSeptember 21, 2007

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