ACACIA CLINIC, INC.
NPI 1417988973
Social Worker - Clinical in Milwaukee, WI

Active since July 05, 2006
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210(414) 871-9111(414) 871-9121 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Acacia Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACACIA CLINIC, INC. (NPI 1417988973) is a healthcare organization registered as a clinical in Milwaukee, Wisconsin and active in the NPI registry since July 2006. The organization lists Deidra Lee Kozlowski, President, as its authorized official.

NPPES Registry Identity

NPI1417988973
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameACACIA CLINIC, INC.
Location Address6040 W LISBON AVE, SUITE 102Milwaukee, WI 53210-2116
Mailing Address6040 W Lisbon Ave, Suite 102Milwaukee, WI 53210-2116 · (414) 871-9111 · Fax (414) 871-9121
Fax(414) 871-9121
Organization SubpartNo
Authorized OfficialDeidra Lee KozlowskiPresident · (414) 871-9111
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1417988973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 1066
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1066 (WI)
Also ListedPsychologistTaxonomy 103T00000X · License 1066 (WI)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1066 (WI)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 1066 (WI)
6040 W LISBON AVE, Milwaukee, WI 53210

Other Identifiers 1

Medicaid42167800WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE
MILWAUKEE, WI 53210
Counselor (Professional)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Case Management
6040 W LISBON AVE, SUITE 203
MILWAUKEE, WI 53210
Counselor (Mental Health)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Counselor (Mental Health)
6040 W LISBON AVE, SUITE 102
MILWAUKEE, WI 53210
Case Management
6040 W LISBON AVE, STE B6
MILWAUKEE, WI 53210
Community/Behavioral Health
6040 W LISBON AVE, SUITE 200
MILWAUKEE, WI 53210
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE, 102
MILWAUKEE, WI 53210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acacia Clinic, Inc.'s NPI number?

The NPI number for Acacia Clinic, Inc. is 1417988973. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Acacia Clinic, Inc. located?

Acacia Clinic, Inc. is located at 6040 W Lisbon Ave Suite 102, Milwaukee, WI 53210. The listed phone number is (414) 871-9111.

What is Acacia Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Acacia Clinic, Inc. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.