Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shadeed Hasan II

Individual provider Counselor · NPI 1003130626

Shadeed Hasan II is a Clinical Social Worker in Stockton, California. Qualified in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2010
Specialties on file
4
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Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2413 2nd St, Eureka, CA 95501-0811 — (707) 269-9590

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-16-22697 (CA)
Counselor Taxonomy 101Y00000X · Licence 36287 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW84937 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003130626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2010
Last updated in NPPESDecember 28, 2021
Certification dateApril 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stockton