Shana Johnson, ACSW is a
Social Worker based in San Pablo, California. Shana Johnson is licensed to practice in California (license number ASW120269) and her current practice location is
13585 San Pablo Ave, San Pablo, California. She can be reached at her office (for appointments etc.) via phone at
(818) 521-8614.
NPI number for Shana Johnson is 1104254127 and her current mailing address is 2921 Florida Ave, Richmond, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104254127.
Healthcare Provider's Profile
| Full Name | Shana Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
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| Location | 13585 San Pablo Ave, San Pablo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104254127
- Provider Enumeration Date: 10/30/2013
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Shana Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104254127 | NPI | - | NPPES |
| 00 | Other | CA | AC BHCS CLINICIAN # 00 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW120269 (California) | Secondary |
| 104100000X | Social Worker | ASW120269 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shana Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shana Johnson, ACSW
2921 Florida Ave,
Richmond, CA 94804-3107
Ph: (818) 521-8614 | Shana Johnson, ACSW
13585 San Pablo Ave,
San Pablo, CA 94806-3863
Ph: (818) 521-8614 |
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