Individual provider Active NPI

Shaylah Lee, LCSW

  • Clinical Social Worker
  • Monterey, CA
National Provider Identifier
1114697836
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5570 Issued in HI
Practice address
856 Lomita St
Monterey, CA 93940-4433
Phone
(862) 239-5672
NPI assigned
Sep 14, 2021
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5570 HI Primary

Addresses

Primary practice location

856 Lomita St
Monterey, CA 93940-4433

Mailing address

1603 Capitol Ave Ste 413
Cheyenne, WY 82001-4562
Phone (862) 239-5672

Other names 1

  • Shaylah Nichols Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii International Child Placement & Family Services, Inc. CurrentSince Aug 4, 2024 Accepting new patients

Locations

1632 S King St
Honolulu, HI 96826
Phone (808) 380-1137

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1114697836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CAPITOL AVE STE 413",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014562",
            "telephone_number": "862-239-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 LOMITA ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404433",
            "telephone_number": "862-239-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHAYLAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLAH",
            "last_name": "NICHOLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.