Isabella Pico, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SL06974100 Issued in NJ

Practice address

680 Broadway
Paterson, NJ 07514-1524

Phone

(973) 221-8100

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1700568219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-221-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-221-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Salem St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076017427",
            "country_code": "US",
            "telephone_number": "201-646-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICO",
        "first_name": "ISABELLA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06974100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Medicine of New Jersey LLC
• Physical Therapy Home Services LLC
• Physical Therapy Institute of Paterson
• Chrismaily Sheribel Pichardo
• Norma Pichardo, APN
• Eugene P Pierinelli, PH.
• Pilgrimage Outreach,Inc. ( Fbhsp )
• Pillar Care Continuum
• Andrea Lavon Marie Pinchom, FNP
• Priscilla Pineda

• Mental Health Counselor in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.