CONNIE VANDERVELDE MSW
NPI 1952007361
Counselor - Mental Health in Edgewater, FL

Active since February 07, 2023PECOS Enrolled
2102 S RIDGEWOOD AVE STE 17, EDGEWATER, FL 32141(321) 578-9008 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connie Vandervelde Msw NPPES

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

CONNIE VANDERVELDE MSW (NPI 1952007361) is an individual mental health provider in Edgewater, Florida and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952007361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCONNIE VANDERVELDECredential: MSW
Location Address2102 S RIDGEWOOD AVE STE 17Edgewater, FL 32141-4230
Mailing Address2102 S Ridgewood Ave, Suite 17Edgewater, FL 32141 · (904) 878-4822
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 5, 2023
✔ NPI 1952007361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2102 S RIDGEWOOD AVE STE 17, Edgewater, FL 32141

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Vandervelde Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749744100
PECOS Enrollment IDI20260716000642
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Connie Vandervelde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2111 S RIDGEWOOD AVE UNIT 11
Edgewater, FL 32141
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Social Worker
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Counselor (Professional)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141

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's NPI number?

The NPI number for Connie Vandervelde is 1952007361. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Connie Vandervelde located?

Connie Vandervelde practices at 2102 S Ridgewood Ave Ste 17, Edgewater, FL 32141. The listed phone number is (321) 578-9008.

What is Connie Vandervelde's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Connie Vandervelde enrolled in Medicare?

Yes. Connie Vandervelde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Connie Vandervelde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Vandervelde reassigns Medicare benefits to Circle Of Connections, LLC (Edgewater, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Vandervelde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Vandervelde accept?

Health plans from Florida Health Care Plans, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Connie Vandervelde 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 Connie Vandervelde was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.