Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lauren Vivenzio, LCSW

Individual provider Clinical Social Worker · NPI 1447882006

Jessica Lauren Vivenzio, LCSW is a Clinical Social Worker in Norwalk, Connecticut. Graduated from Fordham University School of Medicine in 2017, 9 years ago. Practices with Family and Children's Agency Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Trained at
Fordham University School of Medicine
Licensed in
CT
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9 Mott Ave Fl 4
Norwalk, CT 06850-3330
Phone: (203) 523-5793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10945 (CT)

Record details

NPI number1447882006
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Family And Children'S Agency Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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