Individual provider Active NPI

Ronnishia Johnson-Hasan, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1043694136
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106374 Issued in CA
Practice address
1728 Bancroft Ave
San Francisco, CA 94124-2697
Phone
(415) 822-1707
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Counselor 101Y00000X 72607 CA
Clinical Social Worker 1041C0700X 106374 CA Primary

Addresses

Primary practice location

1728 Bancroft Ave
San Francisco, CA 94124-2697

Mailing address

1728 Bancroft Ave Apt 233
San Francisco, CA 94124-2697
Phone (415) 822-1707

Other practice location 1

225 37th Ave
3rd floor
San Mateo, CA 94403-4324
Phone (650) 363-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240424001916 CA Practitioner - Clinical Social Worker 5991145906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

2712 Mission St
San Francisco, CA 94110-3104
Phone (415) 401-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72607CAMDCounselor
106374CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Mar 11, 2024 Accepting new patients
City and Couny of San Francisco CurrentSince Mar 11, 2024 Accepting new patients

Locations

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1043694136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 BANCROFT AVE APT 233",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242697",
            "telephone_number": "415-822-1707",
            "fax_number": "415-822-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 BANCROFT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941242697",
            "telephone_number": "415-822-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 37th Ave",
            "address_2": "3rd floor",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944034324",
            "country_code": "US",
            "telephone_number": "650-363-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-HASAN",
        "first_name": "RONNISHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "72607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.