Individual provider Active NPI

Karyn Lawrence-Vivier, LCSW

  • Clinical Social Worker
  • Greenwich, CT
National Provider Identifier
1730568312
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007973 Issued in CT
Practice address
14 Brook Crossway
Greenwich, CT 06831-4102
Phone
(203) 561-0686
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007973 CT Primary

Addresses

Primary practice location

14 Brook Crossway
Greenwich, CT 06831-4102

Mailing address

14 Brook Crossway
Greenwich, CT 06831-4102
Phone (203) 561-0686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914000713 CT Practitioner - Clinical Social Worker 8123335841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007973CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Mar 20, 2015 Accepting new patients
State of Connecticut CurrentSince Mar 20, 2015 Accepting new patients
Karyn Lawrence-Vivier Clinical Past Accepting new patients

Locations

1635 Central Ave
#213
Bridgeport, CT 06610

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1730568312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROOK CROSSWAY",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314102",
            "telephone_number": "203-561-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BROOK CROSSWAY",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314102",
            "telephone_number": "203-561-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE-VIVIER",
        "first_name": "KARYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.