Provider Demographics
NPI:1124186424
Name:REKAS, JANE LEU (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:LEU
Last Name:REKAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:LENORR
Other - Last Name:ARNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1312 13TH
Mailing Address - Street 2:APT. A
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031
Mailing Address - Country:US
Mailing Address - Phone:971-285-5679
Mailing Address - Fax:
Practice Address - Street 1:205 OAK ST.
Practice Address - Street 2:STE. 1
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031
Practice Address - Country:US
Practice Address - Phone:971-285-5679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL25441041C0700X
OR2544104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR139670Medicaid
OR132566Medicare PIN