Individual
MRS. JACINDA REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
203 2ND AVE SW, MIAMI, OK 74354-6818
(417) 214-6648
Mailing address
406 E 3RD TER, LAMAR, MO 64759-1150
(417) 214-6648
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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