Individual
MRS. JACINDA REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2016029485
MO
1041C0700X
Clinical Social Worker
Primary
5174
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002628535
CTS CHILDRENS TREATMENT SERVICES
MO
01
—
1280287
MO CARE
MO
05
—
1730457300
—
MO
01
—
4277661
AETNA
MO
01
—
601117207
MAGELLAN
MO
01
—
D27240
HEALTHLINK
MO
Enumeration date
12/09/2011
Last updated
07/07/2025
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