Nissa Blair Shakocius, LCSW
NPI 1821244658ActiveIndividual· Social Worker, Clinical· Boerne, TX
Social Worker, Clinical (LCSW) with Healthdrive Medical Services of Texas LLC and 2 other groups, practicing in Boerne, Texas. Medicare paid $52,616 for services to 81 patients in 2024.
Overview
| NPI | 1821244658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2008 |
| Last updated in NPPES | May 12, 2020 |
| Certified by provider | May 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 24656 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 902 across 4 procedure codes |
| Paid by Medicare | $52,616 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Healthdrive Medical Services of Texas LLCFort Worth, TX · 42 clinicians
- Healthdrive Medical Services Southeast LLCGreat Falls, MT · 29 clinicians
- Centric Physicians Group PLLCBoerne, TX · 21 clinicians
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