Jessica Vivenzio, Lcsw LLC
NPI #1003569880 in Stamford, Connecticut
Provider Information
- NPI Number
- 1003569880
- Entity Type
- Organization
- Organization Name
- Jessica Vivenzio, Lcsw LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 1, 2022
- Last Updated
- Feb 14, 2022
Practice Location
- Address
- 68 HOPE ST APT 11
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06906-2607
- Phone
- (413) 531-5788
Authorized Official
- Name
- JESSICA VIVENZIO, LCSW
- Title
- LLC OWNER
- Phone
- (413) 531-5788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Social Worker - Clinical — Clinical |
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