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SHELLY KWONG
NPI 1699058180
Social Worker - Clinical in San Mateo, CA

Active since September 21, 2011PECOS Enrolled
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403(650) 573-3571 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2022, Apr 25, 2018 (2 updates tracked since 2018).

About Shelly Kwong NPPES

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

SHELLY KWONG (NPI 1699058180) is an individual clinical provider in San Mateo, California and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699058180
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLY KWONG
Location Address1950 ALAMEDA DE LAS PULGASSan Mateo, CA 94403-1222
Mailing Address149 Piccadilly Pl Apt ASan Bruno, CA 94066-2142
Phone(650) 573-3571
Sole ProprietorNo
Enumeration DateSeptember 21, 2011
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1699058180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
1950 ALAMEDA DE LAS PULGAS, San Mateo, CA 94403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Shelly Kwong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Mateo County
Same address
Community/Behavioral Health
1950 ALAMEDA DE LAS PULGAS
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • 597 clinicians in this Medicare group
NPI 1710908272 (650) 573-3571

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHELLE J PATTERSON MPH, CHES
Health Educator
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 372-8511
MS. GIOVANNA KELLY GIRON CAADE
Counselor (Addiction (Substance Use Disorder))
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 573-2302
JENNIE YOO MD
Psychiatry & Neurology (Psychiatry)
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 570-3515
ELISEO AMEZCUA MA
Counselor (Addiction (Substance Use Disorder))
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 573-2302
GURVEEN KAHLON
Student in an Organized Health Care Education/Training Program
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 372-6114
SUZANNE AUBRY
Counselor (Mental Health)
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 573-2673
MS. JULIE S LEONG
Marriage & Family Therapist
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 779-8742
MRS. JENNIFER CARBAJAL
Marriage & Family Therapist
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403
San Mateo County (650) 313-6114

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 Shelly Kwong's NPI number?

The NPI number for Shelly Kwong is 1699058180. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Shelly Kwong located?

Shelly Kwong practices at 1950 Alameda De Las Pulgas, San Mateo, CA 94403. The listed phone number is (650) 573-3571.

What is Shelly Kwong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelly Kwong enrolled in Medicare?

Yes. Shelly Kwong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Kwong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Kwong reassigns Medicare benefits to San Mateo County (San Mateo, CA). 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 Shelly Kwong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Kwong was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.