Shenna Dominique Fisher, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57551 Issued in TX

Practice address

909 NE Loop 410 Ste 634
San Antonio, TX 78209-1309

Phone

(210) 643-4058

Fax

(866) 544-0326

NPI assigned

Jun 4, 2018

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deep Dive Individual and Family Counseling Services PLLC

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1003445818

  Clinical

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1295227304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BABCOCK RD APT 7304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401890",
            "telephone_number": "210-643-4058",
            "fax_number": "866-544-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NE LOOP 410 STE 634",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091309",
            "telephone_number": "210-643-4058",
            "fax_number": "866-544-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SHENNA",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003445818",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1F6319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Fisher, M.D.
• Rebecca Susanne Fisher, PHARMD
• Reid Fisher, ATC
• Robert Nichols Fisher, LMFT, CART
• Rosemary H Fisher
• Shyiannah Monae Fisher
• Steven J Fisher, M.D.
• Syreeta Fisher
• Thomas D Fisher, M.D.
• William Fisher

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.