MEDICARE: ALVIN MARES PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I1600682	OH

General Provider Information

NPI Number	:	1962817627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVIN MARES PHD

Provider Business Mailing Address
First Line	:	841 E MAIN ST STE B
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-3509
Country	:	US
Telephone Number	:	740-804-6800
Fax Number	:	740-721-4155

Provider Business Practice Location Address
First Line	:	841 E MAIN ST STE B
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-3509
Country	:	US
Telephone Number	:	740-804-6800
Fax Number	:	740-721-4155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2014
Last Update Date	:	06/19/2025

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