Carol Jeanne Vivona, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06771000 Issued in NJ

Practice address

550 Broad St Ste 606
Newark, NJ 07102-4537

Phone

(201) 822-1161

Fax

(877) 485-8918

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

Yes

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 NJ

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

Specialty

Clinical Social Worker

Education

Other, 1981

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.

• JLS Medical PC

  dba Wellbrook Health

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164007043
  Medicare reassignment NPD
• Bancroft, a New Jersey Nonprofit Corporation

  • Rehabilitation Clinic/Center
  • Cherry Hill, NJ
  • NPI 1720121106
  NPD (past)

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1831922053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 MOHAWK DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087238019",
            "telephone_number": "732-713-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROAD ST STE 606",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024537",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Washington St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537667",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVONA",
        "first_name": "CAROL",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06771000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divya Viswanathan, MD
• Rohan Viswanathan, MD
• Richard M Vitali, PA-C
• Michael J Vives, MD
• Jacqueline Viviano, APN
• Reshma Vohra, MD
• Kellie Volcy, APN,C
• Danielle Voorhees
• Sajni Vora, MD
• Michael Mark Vosbikian, M.D.

• Social Worker in Newark, NJ
• Providers in Newark, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.