Carol Jeanne Vivona, MSW, LSW
NPI 1831922053ActiveIndividual· Social Worker, Clinical· Newark, NJ
Social Worker, Clinical (MSW, LSW) with Jls Medical PC, practicing in Newark, New Jersey. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1831922053 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LSW |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2024 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | Q1-0012989 | DE |
| Social Worker | 104100000X | 44SC06633800 | NJ |
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) | Enrolled Practitioner - Clinical Social Worker (NJ) |
|---|
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Jls Medical PCNewark, NJ · 57 clinicians
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