Individual ProviderShea RiesterSocial WorkerBehavioral Health & Social Service ProvidersPractice Address421 7th Ave Ste 710, New York, NY 10001-0266(857) 756-3730PECOS EnrollmentBased on the most recent information from CMS, provider Shea Riester does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:56 PM.Profile DetailsProvider ID1982398541Provider TypeIndividualFull NameRiester, SheaCredentialLMSWGenderMaleSole ProprietorNoEnumeration Date6/6/2023Last Updated6/6/2023Contact InformationPractice LocationPractice Address421 7th Ave Ste 710, New York, NY 10001-0266Phone(857) 756-3730FaxUnlisted FaxMailing LocationMailing Address421 7th Ave Ste 710, New York, NY 10001-0266PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense119026New York