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SHEA MENDELSON
NPI 1629615117
Social Worker in Honolulu, HI

Active since December 04, 2019PECOS Enrolled
1374 NUUANU AVE, HONOLULU, HI 96817(808) 691-7164 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, Dec 4, 2019 (2 updates tracked since 2019).

About Shea Mendelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEA MENDELSON (NPI 1629615117) is an individual social worker in Honolulu, Hawaii, licensed in New York (107027-01) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629615117
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHEA MENDELSON
Location Address1374 NUUANU AVEHonolulu, HI 96817-4032
Mailing Address1374 Nuuanu AveHonolulu, HI 96817-4032
Phone(808) 691-7164
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 4, 2019
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1629615117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 107027-01
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1374 NUUANU AVE, Honolulu, HI 96817
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-6500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shea Mendelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426545682
PECOS Enrollment IDI20251013002948
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shea Mendelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Queen Emma Clinics
0.5 mi
Clinic/Center
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 clinicians in this Medicare group
NPI 1528097094 (808) 547-4970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA ELIZABETH MILLER LCSW,CSAC
Social Worker (Clinical)
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 691-4910
HAYLEY VICKERY
Counselor (Mental Health)
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 547-4574
ALINA DVORTSEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 691-4401
MS. CHRISTINA SACHIE KULA LIPPERT MFT, CSAC
Marriage & Family Therapist
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 537-7194
GARRISS NOLANLIU AKIONA LCSW, CSAC
Social Worker (Clinical)
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 691-7102
HILLARY MAI PA
Physician Assistant
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 691-4401
RAMONA GREIG CHINN APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 691-4401
KEISHA PAGDILAO
Social Worker
1374 NUUANU AVE
HONOLULU, HI 96817
Honolulu County (808) 691-5247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shea Mendelson's NPI number?

The NPI number for Shea Mendelson is 1629615117. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Where is Shea Mendelson located?

Shea Mendelson practices at 1374 Nuuanu Ave, Honolulu, HI 96817. The listed phone number is (808) 691-7164.

What is Shea Mendelson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shea Mendelson enrolled in Medicare?

Yes. Shea Mendelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shea Mendelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shea Mendelson reassigns Medicare benefits to Queen Emma Clinics (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shea Mendelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shea Mendelson accept?

Health plans from HMSA list Shea Mendelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shea Mendelson was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.