Individual ProviderAdy SheaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11713 Jefferson Ave, Newport News, VA 23606-2400(757) 503-2819PECOS EnrollmentBased on the most recent information from CMS, provider Ady Shea is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578140380Provider TypeIndividualFull NameShea, AdyCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/26/2021Last Updated12/30/2025Contact InformationPractice LocationPractice Address11713 Jefferson Ave, Newport News, VA 23606-2400Phone(757) 503-2819FaxUnlisted FaxMailing LocationMailing Address11713 Jefferson Ave, Newport News, VA 23606-2400Phone(757) 503-2819FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904010627Virginia