Organization · Type 2 NPI

Jessica Vivenzio, LCSW LLC

Clinical Social Worker · Stamford, CT

NPI number 1003569880 Active

Practice location

68 Hope St Apt 11
Stamford, CT 06906-2607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003569880

Jessica Vivenzio, LCSW LLC's National Provider Identifier is 1003569880, issued on Feb 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stamford, CT. The record was last updated on Feb 14, 2022.