RONNISHIA JOHNSON-HASAN (LCSW) – Clinical Social Worker, NPI 1043694136

RONNISHIA JOHNSON-HASAN (LCSW) is a healthcare provider. based in San mateo, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 72607 (CA). The NPI Number for RONNISHIA JOHNSON-HASAN (LCSW) is 1043694136

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
RONNISHIA JOHNSON-HASAN (LCSW)
NPI
1043694136
Phone
(650) 363-4111
Address
225 37th Ave
Enumeration Date
17 July 2015
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154012700
Graduation Year
2016 (10 years ago)
PAC ID
5991145906
Group Practice PAC ID
1658280748
Professional Enrollment ID
I20240424001916
Address ID
CA941103104SA2712XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for RONNISHIA JOHNSON-HASAN (LCSW)

  • 225 37th Ave

    3rd floor

    San Mateo, CA 944034324

    Phone: (650) 363-4111

    Type: Location

  • 1728 BANCROFT AVE

    SAN FRANCISCO, CA 941242697

    Phone: (415) 822-1707

    Type: Location

  • 1728 BANCROFT AVE APT 233

    SAN FRANCISCO, CA 941242697

    Phone: (415) 822-1707

    Fax: (415) 822-1723

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240424001916IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658280748View full group profile

Reviews

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Frequently asked questions

What identifier follows RONNISHIA JOHNSON-HASAN (LCSW) across health systems?
The NPI 1043694136 uniquely identifies RONNISHIA JOHNSON-HASAN (LCSW) in U.S. healthcare data.
Is RONNISHIA JOHNSON-HASAN (LCSW)'s NPI status active today?
Active status means RONNISHIA JOHNSON-HASAN (LCSW)'s NPI record is not deactivated in the public file.
What does the directory say RONNISHIA JOHNSON-HASAN (LCSW) does?
Insurance directories may phrase it differently, but here RONNISHIA JOHNSON-HASAN (LCSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is RONNISHIA JOHNSON-HASAN (LCSW) tied to San Mateo, California?
If you are local to San Mateo, California, RONNISHIA JOHNSON-HASAN (LCSW) may be relevant to your search.
Why is information missing for RONNISHIA JOHNSON-HASAN (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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