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

Connie Vandervelde, MSW

Individual provider Mental Health Counselor · NPI 1952007361

Connie Vandervelde, MSW is a Clinical Social Worker in Edgewater, Florida. Qualified in 2020, 6 years ago. Registered with an NPI since 2023.

Years since qualifying
6
In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230
Phone: (321) 578-9008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1952007361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 5, 2023
Mailing address2102 S Ridgewood Ave, Suite 17, Edgewater, FL 32141

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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