Jessica Vivenzio, Lcsw LLC
NPI 1003569880ActiveOrganization· Social Worker, Clinical· Stamford, CT
Social Worker, Clinical in Stamford, Connecticut, registered in NPPES in February 2022. The authorized official on file is Jessica Vivenzio, LCSW, Llc Owner.
Overview
| NPI | 1003569880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2022 |
| Last updated in NPPES | Feb 14, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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