Ms Jacqueline Edwina Dombrowski, MSW, LCSW, CMT is a
Social Worker - Clinical based in Hartland, Wisconsin. Ms Jacqueline Edwina Dombrowski is licensed to practice in Wisconsin (license number 7122-123) and her current practice location is
300 Cottonwood Ave Ste 4, Hartland, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 405-2486.
NPI number for Ms Jacqueline Edwina Dombrowski is 1922294040 and her current mailing address is 18705 Brookridge Dr, Brookfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922294040.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Edwina Dombrowski |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 300 Cottonwood Ave Ste 4, Hartland, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922294040
- Provider Enumeration Date: 09/21/2007
- Last Update Date: 09/21/2007
Medical Identifiers
Medical identifiers for Ms Jacqueline Edwina Dombrowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922294040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 7122-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7122-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Edwina Dombrowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jacqueline Edwina Dombrowski, MSW, LCSW, CMT
18705 Brookridge Dr,
Brookfield, WI 53045-1029
Ph: (262) 781-5333 | Ms Jacqueline Edwina Dombrowski, MSW, LCSW, CMT
300 Cottonwood Ave Ste 4,
Hartland, WI 53029-2043
Ph: (414) 405-2486 |
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