Jennifer Vivoli, MSW, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05670500 Issued in NJ

Practice address

12 Lower Center St Ste 12
Clinton, NJ 08809-1423

Phone

(908) 838-9480

NPI assigned

Jun 4, 2014

Last updated

Jun 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1962815241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "RINGOES",
            "state": "NJ",
            "postal_code": "085510094",
            "telephone_number": "908-838-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LOWER CENTER ST STE 12",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091423",
            "telephone_number": "908-838-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVOLI",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00283300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05670500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Joseph Todaro, PHARMD
• Henry Toke, PT, DPT, BSC
• Victoria Uryniak, DDS
• James J Vandenburg III, MD
• Marja Vanouwerkerk, PA-C
• Melissa Von Der Heide, MA, LMFT
• Shobhana B Vora, M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2582)
• Winifred M Waldron, MD
• Walgreen Co (Walgreens #18117)

• Clinical Social Worker in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.