Healthcare Provider Details

I. General information

NPI: 1255251831
Provider Name (Legal Business Name): FIONA PICCHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 LUCAS RD
LODI CA
95242-9333
US

IV. Provider business mailing address

PO BOX 4704
STOCKTON CA
95204-0704
US

V. Phone/Fax

Practice location:
  • Phone: 209-200-8611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: