Individual
ACACIA SKY WATERS
Active
Individual
ACACIA SKY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
1041C0700X
Clinical Social Worker
Primary
107002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC 700 42F
COUNTY OF SANTA CRUZ GROUP MEDI-CAL #
CA
01
—
ZZZ91891Z
COUNTY OF SANTA CRUZ GROUP MEDICARE #
CA
01
—
ZZZ91892Z
COUNTY OF SANTA CRUZ GROUP MEDICARE #
CA
01
—
ZZZ92069Z
COUNTY OF SANTA CRUZ GROUP MEDICARE #
CA
Enumeration date
08/29/2013
Last updated
06/11/2026
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