Provider Demographics
NPI:1871366344
Name:REA, ANN EMILY (MSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:EMILY
Last Name:REA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:EM
Other - Middle Name:
Other - Last Name:REA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:29 SIMPSON LN UNIT 6
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2230
Mailing Address - Country:US
Mailing Address - Phone:267-273-5843
Mailing Address - Fax:
Practice Address - Street 1:29 SIMPSON LN UNIT 6
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2230
Practice Address - Country:US
Practice Address - Phone:267-273-5843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical