Kelley Renee Reed, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Ava, MO
NPI 1750301784 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1750301784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 004904 (MO)
- Practice address
- 603 South Jefferson Street
Ava, MO 65608 - Phone
- (417) 683-3398
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Missouri, Columbia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas County Public Health Services Group, Inc.
Practice addresses (Care Compare)
904 Zimmerman Ave
Cabool, MO 65689-7365
Phone (417) 962-5422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061005000246 | MO | Practitioner - Clinical Social Worker | 2466458047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Public Health Services Group, Inc. | Current |
Accepting new patients | |
| Douglas County Public Health Services Group, Inc. | Current |
Accepting new patients |
Locations
904 Zimmerman Ave
Cabool, MO 65689
Phone (417) 683-4831
1604 N Main St
#C
Mountain Grove, MO 65711
Phone (417) 926-1713
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004904 | MO | Yes |
Addresses
Primary practice location
603 South Jefferson Street
Ava, MO 65608
Mailing address
RR 1 Box 54B
Mountain Grove, MO 65711-9519
Phone (417) 259-9644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493947717 | Medicaid | MO |
Other providers in Ava, MO
- Physical Therapy Clinic of Ava, P.C.
- Plainview R-VIII Elementary School
- Alexander J Prewett
- Price Conflict Resolution & Consulting, LLC
- Quality Counseling Services LLC
- Regional Services
- Cara Roberts
- Lise G Rogers
- Holli K Ruby
- Scott Mason DDS
All providers in Ava, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.