Active NPI
Andrea Denise Marez, LCSW 109067
- Mental Health Counselor
- Santa Maria, CA
National Provider Identifier
1760839153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 109067
- Practice address
- 105 N Lincoln St
Santa Maria, CA 93458-4319 - Phone
- (805) 598-4115
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 109067 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 109067 | CA |
Addresses
Primary practice location
105 N Lincoln St
Santa Maria, CA 93458-4319
Mailing address
1017 N Concepcion Ave
Santa Maria, CA 93454-2321
Phone (805) 598-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1760839153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 N CONCEPCION AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934542321",
"telephone_number": "805-598-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N LINCOLN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934584319",
"telephone_number": "805-598-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREZ",
"first_name": "ANDREA",
"middle_name": "DENISE",
"credential": "LCSW 109067",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "109067",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "109067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.