1. Home
  2. Directory
  3. Florida
  4. Edgewater
  5. Counselor
  6. NPI Profile

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: August 02, 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.

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
Phone(321) 578-9008
Sole ProprietorNo
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

JODIE BARKO-ABSHIRE MSW
Social Worker
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Volusia County (386) 402-8346
MRS. MEREDITH KAFFEE HARTS
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Volusia County (386) 402-8346
MRS. CHARLOTTE ANNA HARTS
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Volusia County (904) 270-9181
KATY ANN REDEL LMHC
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Volusia County (386) 402-8346
MRS. CHENOA YANCEY MA
Counselor (Mental Health)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Volusia County (386) 402-8346
K VILLE LLC
Counselor (Professional)
2102 S RIDGEWOOD AVE STE 17
EDGEWATER, FL 32141
Volusia County (386) 402-8346

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.

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.