Organization · Type 2 NPI

Connie Vandervelde Limited Liability Company

Clinical Social Worker · Daytona Beach, FL

NPI number 1174428049 Active

Practice location

128 Orange Ave
Daytona Beach, FL 32114-4310

Call (321) 578-9008 Map

Mailing address

2100 Kenilworth Ave
South Daytona, FL 32119-2708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1174428049

Connie Vandervelde Limited Liability Company's National Provider Identifier is 1174428049, issued on Oct 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 14, 2026.