Individual
MARY JO PICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4308 CARLISLE BLVD NE STE 207, ALBUQUERQUE, NM 87107-4849
(505) 366-9106
Mailing address
2633 GRANITE AVE NW, ALBUQUERQUE, NM 87104-1701
(505) 366-9106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C09396
NM
1041C0700X
Clinical Social Worker
X08231
NM
1041S0200X
School Social Worker
Primary
C-09396
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z7926
—
NM
Enumeration date
08/27/2013
Last updated
05/05/2026
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