Ady Shea LLC
Organization Active NPI Clinical Social Worker · Virginia Beach, VA
NPI 1497464234 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1497464234
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ADY SHEA LLC
- Practice address
- 512 S Lynnhaven Rd
Ste 101
Virginia Beach, VA 23452-6664 - Phone
- (757) 306-4232
- Fax
- (757) 306-4235
- NPI assigned
- Nov 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Ady Shea, LCSW
- Title
- Owner/LCSW
- Phone
- (757) 306-4232
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
512 S Lynnhaven Rd
Ste 101
Virginia Beach, VA 23452-6664
Mailing address
512 S Lynnhaven Rd
Ste 101
Virginia Beach, VA 23452-6664
Phone (757) 306-4232
NPI Registry JSON
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1497464234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 S LYNNHAVEN RD",
"address_2": "STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526664",
"telephone_number": "757-306-4232",
"fax_number": "757-306-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S LYNNHAVEN RD",
"address_2": "STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526664",
"telephone_number": "757-306-4232",
"fax_number": "757-306-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADY SHEA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "SHEA",
"authorized_official_first_name": "ADY",
"authorized_official_title_or_position": "OWNER/LCSW",
"authorized_official_telephone_number": "757-306-4232",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.