Acacia Sky Waters, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107002 Issued in CA

Practice address

1436 Minnesota St
Fairfield, CA 94533-4632

Phone

(831) 325-3677

NPI assigned

Aug 29, 2013

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Acacia Waters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1568896249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 MINNESOTA ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334632",
            "telephone_number": "831-325-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 MINNESOTA ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334632",
            "telephone_number": "831-325-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "ACACIA",
        "middle_name": "SKY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ACACIA",
            "last_name": "WATERS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delaney Nicole Washburn, D.O.
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• Kurtena Washington
• Emnet Wassie
• Waterman Surgery Center Inc
• Johnalice Waters
• Jason L Watkins
• Ariane Heather Watson, LCSW
• Jackquell Renee Watson
• Katelyn Renee Watson, IDMT

• Clinical Social Worker in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.