Nissa Blair Shakocius, LCSW | |
113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | |
(830) 267-4575 | |
(830) 214-2576 |
Full Name | Nissa Blair Shakocius |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 113 Pleasant Valley Dr Ste 210, Boerne, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821244658 | NPI | - | NPPES |
287224402 | Medicaid | TX | |
2872244-08 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24656 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centric Physicians Group Pllc | 1951614726 | 28 |
Entity Name | Centric Physicians Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073907184 PECOS PAC ID: 1951614726 Enrollment ID: O20150722005727 |
Mailing Address | Practice Location Address |
---|---|
Nissa Blair Shakocius, LCSW 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575 | Nissa Blair Shakocius, LCSW 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575 |
Yesenia Salinas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Pleasant Valley Dr, Boerne, TX 78006 Phone: 818-470-0380 | |
Theresa Bruce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 916 E Blanco Rd Ste 600, Boerne, TX 78006 Phone: 830-542-9166 | |
Ms. Joan Macfarlane Clark, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 607 Oak Ridge Dr, Boerne, TX 78006 Phone: 830-537-4906 | |
Brian Schill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Old San Antonio Rd, Boerne, TX 78006 Phone: 830-816-2425 Fax: 830-249-8714 | |
Mr. Michael Gene Malinas, M.S.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006 Phone: 830-267-4575 | |
Aubrey Dawn Millican, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 147 Dusty Corral, Boerne, TX 78006 Phone: 806-881-1377 | |
Michelli Ramon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8604 Raintree Hl, Boerne, TX 78015 Phone: 210-316-4057 |