Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CONNIE VANDERVELDE LIMITED LIABILITY COMPANY
NPI 1174428049
Social Worker - Clinical in Daytona Beach, FL

Active since October 12, 2026
128 ORANGE AVE, DAYTONA BEACH, FL 32114(321) 578-9008 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connie Vandervelde Limited Liability Company NPPES

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

CONNIE VANDERVELDE LIMITED LIABILITY COMPANY (NPI 1174428049) is a healthcare organization registered as a clinical in Daytona Beach, Florida and active in the NPI registry since October 2026. The organization lists Connie Vandervelde, Owner, as its authorized official.

NPPES Registry Identity

NPI1174428049
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCONNIE VANDERVELDE LIMITED LIABILITY COMPANY
Location Address128 ORANGE AVEDaytona Beach, FL 32114-4310
Mailing Address2100 Kenilworth AveSouth Daytona, FL 32119-2708 · (321) 578-9008
Organization SubpartNo
Authorized OfficialConnie VanderveldeOwner · (321) 578-9008
Enumeration DateOctober 12, 2026
Last NPPES UpdateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1174428049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
128 ORANGE AVE, Daytona Beach, FL 32114

Other Providers at the Same Location NPPES 5

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

Psychologist (Clinical)
128 ORANGE AVE
DAYTONA BEACH, FL 32114
Clinic/Center (Physical Therapy)
128 ORANGE AVE
DAYTONA BEACH, FL 32114
Day Training, Developmentally Disabled Services
128 ORANGE AVE
DAYTONA BEACH, FL 32114
In Home Supportive Care
128 ORANGE AVE
DAYTONA BEACH, FL 32114
Psychologist (Clinical)
128 ORANGE AVE
DAYTONA BEACH, FL 32114

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 Connie Vandervelde Limited Liability Company's NPI number?

The NPI number for Connie Vandervelde Limited Liability Company is 1174428049. It was assigned to this organization in the NPPES registry on October 12, 2026.

Where is Connie Vandervelde Limited Liability Company located?

Connie Vandervelde Limited Liability Company is located at 128 Orange Ave, Daytona Beach, FL 32114. The listed phone number is (321) 578-9008.

What is Connie Vandervelde Limited Liability Company's specialty?

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

When was this NPI record last updated?

The NPPES record for Connie Vandervelde Limited Liability Company was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.