Active NPI
Mary Jo Picha, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1083048037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C09396
- Practice address
- 4308 Carlisle Blvd NE Ste 207
Albuquerque, NM 87107-4849 - Phone
- (505) 366-9106
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | C-09396 | NM | |
| Clinical Social Worker | 1041C0700X | C09396 | NM | Primary |
Addresses
Primary practice location
4308 Carlisle Blvd NE Ste 207
Albuquerque, NM 87107-4849
Mailing address
2633 Granite Ave NW
Albuquerque, NM 87104-1701
Phone (505) 366-9106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05552893 | Medicaid | NM | |
| Z7926 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C09396 | NM | MD | Clinical Social Worker |
| C-09396 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Day Inc. | Past | Accepting new patients | |
| Changing Perspectives Youth and Family Services, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1790139673
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1134134885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1083048037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 GRANITE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041701",
"telephone_number": "505-366-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE STE 207",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074849",
"telephone_number": "505-366-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHA",
"first_name": "MARY",
"middle_name": "JO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "C-09396",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C09396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05552893",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z7926",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.