Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nissa Blair Shakocius, LCSW

Individual provider Clinical Social Worker · NPI 1821244658

Nissa Blair Shakocius, LCSW is a Clinical Social Worker in Boerne, Texas. Qualified in 1993, 33 years ago. Practices with Centric Physicians Group PLLC, a 22-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
33
Licensed in
TX
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683
Phone: (830) 267-4575
Fax: (830) 214-2576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24656 (TX)

Record details

NPI number1821244658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 12, 2008
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Centric Physicians Group Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boerne