Miguel Angel Mares, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22083 Issued in CA

Practice address

795 Willow Rd
Building 324, Office # B147
Menlo Park, CA 94025-2539

Phone

(650) 493-5000

NPI assigned

Oct 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1295914778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 MERRITT AVE APT 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946105169",
            "telephone_number": "760-695-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "address_2": "BUILDING 324, OFFICE # B147",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASW",
            "identifier": "22083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manori Manske
• Benjamin A Manuel, D.C.
• Natalie R Mar, DPT
• Gloria Juliana Kindt Maramba, PH.D.
• Benjie Bryan Dayao Marcelo, PT
• Joan Margolies, M.S., M.F.T.
• Mark David Levine, MD Menlo Park PC
• Jeffrey Dale Marks, OTRL
• Pia Judith Marloff, RN
• Kevin Martin, C.P.S.

• Clinical Social Worker in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.