Acacia Clinic, Inc.
NPI 1417988973ActiveOrganization· Social Worker, Clinical· Milwaukee, WI
Social Worker, Clinical in Milwaukee, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Deidra Lee Kozlowski, President.
Overview
| NPI | 1417988973 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 1066 | WI |
| Counselor, Mental Health | 101YM0800X | 1066 | WI |
| Psychologist | 103T00000X | 1066 | WI |
| Psychologist, Clinical | 103TC0700X | 1066 | WI |
| Psychologist, Counseling | 103TC1900X | 1066 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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