MARY JO PICHA LCSW NPI 1083048037

NPI Information

NPI: 1083048037
Provider Name: MARY JO PICHA, LCSW
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
2611 EUBANK BLVD NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 298-6752
Get Directions

Mary Jo Picha, LCSW is a school social worker in Albuquerque, NM. Mary Jo Picha, LCSW NPI is 1083048037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2611 EUBANK BLVD NE
ALBUQUERQUE, NM
ZIP 87112-312
Phone: (505) 298-6752
Fax: (505) 298-6759

The enumeration date for this NPI number is 8/27/2013 and was last updated on 8/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	X08231	NEW MEXICO	No
2	1041C0700X	Social Worker	Clinical	C09396	NEW MEXICO	No
3	1041S0200X	Social Worker	School	C-09396	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z7926	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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