SHEA MENDELSON
NPI 1629615117
Social Worker in Honolulu, HI

Q: 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.

Q: What is Shea Mendelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shea Mendelson was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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