Regina A Mares, LCSW
Individual provider Active NPI Clinical Social Worker · Tularosa, NM
NPI 1891177705 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1891177705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SWB-2024-0855 (NM)
- Practice address
- 504 1St St
Tularosa, NM 88352-2702 - Phone
- (575) 585-8800
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2024-0855 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tularosa Municipal Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2024-0855 | NM | Yes |
Addresses
Primary practice location
504 1St St
Tularosa, NM 88352-2702
Mailing address
504 1St St
Tularosa, NM 88352-2702
Phone (575) 585-8800
Other providers in Tularosa, NM
- Christiane George
- April Renee Gonzales
- Jody Lea Hill
- Angeni Kemp
- Suzanne Nora Mancil
- Nikole Matinzo
- Gia Daniella Portillo
- Presbyterian Medical Services
- Megan Salaz
- Tularosa Municipal Schools
All providers in Tularosa, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.