Organization · Type 2 NPI

Acacia Clinic, Inc.

Clinical Social Worker · Milwaukee, WI

NPI number 1417988973 Active

Practice location

6040 W Lisbon Ave, Suite 102
Milwaukee, WI 53210-2116

Fax (414) 871-9121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1066 (WI)
Psychologist 103T00000X1066 (WI)
Clinical Psychologist 103TC0700X1066 (WI)
Counseling Psychologist 103TC1900X1066 (WI)
Clinical Social Worker Primary 1041C0700X1066 (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 1417988973

Acacia Clinic, Inc.'s National Provider Identifier is 1417988973, issued on Jul 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 11, 2025.