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)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 21, 2022.

{
    "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

Verify at the official NPI Registry.