Shadeed Hasan II
NPI 1003130626ActiveIndividual· Behavior Analyst· Stockton, CA
Behavior Analyst with Permanente Medical Group Inc, practicing in Stockton, California. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1003130626 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 25, 2010 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-16-22697 | CA |
| Counselor | 101Y00000X | 36287 | CA |
| Social Worker, Clinical | 1041C0700X | LCSW84937 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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