Individual provider · Type 1 NPI
Mallory D. Marez, LCSW
Clinical Social Worker · Portales, NM
Practice location
141 Texas Dr
Portales, NM 88130-7052
Fax (575) 218-6009
Mailing address
154 Tranquility Dr
Crestview, FL 32536-9505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW17271 (FL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1881291664
Mallory D. Marez, LCSW's National Provider Identifier is 1881291664, issued on Oct 5, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portales, NM. The record was last updated on Jun 12, 2026.