Jessica Lauren Vivenzio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10945 Issued in CT

Practice address

9 Mott Ave FL 4
Norwalk, CT 06850-3330

Phone

(203) 523-5793

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By the provider in NPPES

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

Enrolled in CT

Enrollment records 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family & Children's Agency, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1417170879
  Medicare reassignment NPD
• Jessica Vivenzio, LCSW LLC

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1003569880
  NPD Authorized official
• Family and Children Agency

  • Clinical Social Worker
  • Norwalk, CT
  • NPI 1932801347
  Authorized official Same address or phone

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1447882006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE FL 4",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE FL 4",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-523-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVENZIO",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse & Hospice of Fairfield County Inc
• Visiting Nurse & Hospice of Fairfield County, Inc.
• Vital Care of Connecticut Inc.
• Vital Care of Connecticut, Inc (Vital Care of Connecticut)
• Vital Infusions, LLC
• Vjones Enterprise LLC
• Yolanda Volcimus, PT
• Anupama Voodarla, MD
• Svenja Mirjam Wacker, PHD
• Katherine E Wade

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, 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 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.