Bridgette Shockey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56572 Issued in TX

Practice address

16927 Graham Walk
San Antonio, TX 78247-5832

Phone

(210) 787-1227

Fax

(210) 579-1516

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Bridgette Fogle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Adjuvant Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1497485106
  NPD
• Adjuvant Behavioral Health Inc

  • Physician Assistant
  • Verona, NJ
  • NPI 1851266605
  NPD

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1588032312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11754 JOLLYVILLE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593948",
            "telephone_number": "669-122-7468",
            "fax_number": "800-420-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16927 GRAHAM WALK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475832",
            "telephone_number": "210-787-1227",
            "fax_number": "210-579-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11754 Jollyville Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787593948",
            "country_code": "US",
            "telephone_number": "866-912-2746",
            "fax_number": "800-420-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKEY",
        "first_name": "BRIDGETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "56572",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETTE",
            "last_name": "FOGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shiva Izaddoust D.D.S. P.a.
• Shivam Medical Group, PA
• Bhargavi Shivaprasad
• Lilliana Nissa Shivley, RBT
• Ayham F Shneker, MD
• Ciara Nicole Shockey, LVN
• Courtney Michelle Shockley, M.D.
• Cailey Shoemaker, PTA
• Jasmine Shyanne Shoemate, CNA, CMAA
• Michael Thomas Shoffeitt, M.D.

• 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 Jan 9, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.