Nissa Blair Shakocius in Boerne - Clinical
Nissa Blair Shakocius - NPI 1821244658
Nissa Blair Shakocius is a Clinical in Boerne, Texas. Nissa Blair Shakocius practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nissa Blair Shakocius is 1821244658. The last update date is 2020-05-12.
Nissa Blair Shakocius's current location address is 113 Pleasant Valley Dr Ste 210, Boerne, Texas. You can contact this provider via phone number 8302674575 and fax number 8302142576. The mailing address for Nissa Blair Shakocius is 113 Pleasant Valley Dr Ste 210, Boerne, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nissa Blair Shakocius |
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Address | 113 Pleasant Valley Dr Ste 210, Boerne, Texas |
Phone Number | 8302674575 |
Fax Number | 8302142576 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1821244658 |
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Provider Enumeration Date | 2008-08-12 |
Last Updated Date | 2020-05-12 |
Provider Mailing Address Detail
Address | 113 Pleasant Valley Dr Ste 210 |
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City | Boerne |
State | Texas (TX) |
Post Code | 780065683 |
Phone Number | 8302674575 |
Fax Number | 8302142576 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 24656 |
Definition: 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 licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
287224402 | TX | -- | |
2872244-08 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Nissa Blair Shakocius by the Centers for Medicare & Medicaid Services?
The Nissa Blair Shakocius has been issued the NPI (National Provider Identifier) 1821244658. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Nissa Blair Shakocius's facilities are situated?
The facilities of Nissa Blair Shakocius are physically located at the following address: 113 Pleasant Valley Dr Ste 210, Boerne, TX, 780065683.
What is Nissa Blair Shakocius's area of expertise and its corresponding taxonomy classification?
The Nissa Blair Shakocius's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When was the Nissa Blair Shakocius's 1821244658 issued?
The Nissa Blair Shakocius's 1821244658 was issued on 2008-08-12.
When was the information regarding Nissa Blair Shakocius most recently updated?
The details pertaining to the Nissa Blair Shakocius, including its address, specialty, and other relevant information, were last refreshed on 2020-05-12.
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