Jessica Vivenzio, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA VIVENZIO, LCSW LLC

Practice address

68 Hope St Apt 11
Stamford, CT 06906-2607

Phone

(413) 531-5788

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Vivenzio, LCSWNPI 1447882006

Title

LLC Owner

Phone

(413) 531-5788

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lauren Vivenzio, LCSW

  • Clinical Social Worker
  • Norwalk, CT
  • NPI 1447882006
  NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1003569880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HOPE ST APT 11",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069062607",
            "telephone_number": "413-531-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HOPE ST APT 11",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069062607",
            "telephone_number": "413-531-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA VIVENZIO, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "VIVENZIO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LLC OWNER",
        "authorized_official_telephone_number": "413-531-5788",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Cahn
• Gregory Jude Jenkins, PA
• Jennifer G. Jose
• Elizabeth Jentzen, RN
• Jeremy M. Whitfield D.C. P.C.
• Dorine Jeudi
• Daniel Jew, PA
• Jewish Family Service of Stamford, Inc.
• Jin Mai-Soto DDS, PLLC
• Soyeon Jin

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.