JESSICA LAUREN VIVENZIO LCSW
NPI 1447882006
Social Worker - Clinical in Norwalk, CT

Active since February 11, 2020Opted out of Medicare · through Jul 1, 2028
9 MOTT AVE FL 4, NORWALK, CT 06850(203) 523-5793 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Lauren Vivenzio Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LAUREN VIVENZIO LCSW (NPI 1447882006) is an individual clinical provider in Norwalk, Connecticut, licensed in Connecticut (10945) and active in the NPI registry since February 2020. She has opted out of Medicare through July 1, 2028 and is a graduate of Fordham University School Of Medicine (2017).

NPPES Registry Identity

NPI1447882006
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA LAUREN VIVENZIOCredential: LCSW
Location Address9 MOTT AVE FL 4Norwalk, CT 06850-3330
Mailing Address9 Mott Ave Fl 4Norwalk, CT 06850-3330
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2017
Enumeration DateFebruary 11, 2020
✔ NPI 1447882006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 10945
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9 MOTT AVE FL 4, Norwalk, CT 06850

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Lauren Vivenzio Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9 MOTT AVE FL 4
NORWALK, CT 06850
Social Worker (Clinical)
9 MOTT AVE FL 4, FAMILY & CHILDRENS AGENCY
NORWALK, CT 06850
Social Worker
9 MOTT AVE FL 4
NORWALK, CT 06850
Social Worker (Clinical)
9 MOTT AVE FL 4
NORWALK, CT 06850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Vivenzio's NPI number?

The NPI number for Jessica Vivenzio is 1447882006. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Jessica Vivenzio located?

Jessica Vivenzio practices at 9 Mott Ave Fl 4, Norwalk, CT 06850. The listed phone number is (203) 523-5793.

What is Jessica Vivenzio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Vivenzio enrolled in Medicare?

No. Jessica Vivenzio has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Vivenzio accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Vivenzio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Vivenzio was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.