P Praxis·MD
● Active Type 1 · Individual

Nissa Blair Shakocius, LCSW

Social Worker·Boerne, TX· NPI 1821244658 · Enumerated 2008 · 17 years on NPI
Shakocius is 1 of 22 social worker providers in Boerne and 1 of 12911 in Texas.
NPI age
17 years
Enumerated 2008-08-12
Primary specialty
Social Worker
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 12911 active social worker providers in Texas.

NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-08Enumerated in NPPES
2008 2026

Where they practice

Practice location
113 Pleasant Valley Dr Ste 210
Boerne, TX 780065683
📞 8302674575fax 8302142576
Mailing address
113 Pleasant Valley Dr Ste 210
Boerne, TX 780065683
📞 8302674575fax 8302142576

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    TX license #24656 taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (TX) 287224402
05 (TX) 2872244-08

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Boerne in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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