Jessica Vandevelde, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018926 Issued in NC

Practice address

15 Dawn Rd # 2
Pinehurst, NC 28374-9123

Phone

(910) 585-6108

NPI assigned

Sep 25, 2018

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cape Fear Behavioral Health Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1790062057
  NPD (past)
• True Mental Health & Wellness, PLLC

  • Clinical Social Worker
  • Southern Pines, NC
  • NPI 1588257448
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1013492040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12281 WOODRUN DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283522055",
            "telephone_number": "586-419-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DAWN RD # 2",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749123",
            "telephone_number": "910-585-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVELDE",
        "first_name": "JESSICA",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padiwath C Ung, MD
• Kimberly Joan Valenti, FNP
• Paulette Valentine
• Lindsey Ann Vallet, FNP, NNP
• Catherine Marie Vanco, PA-C
• Ravikant V Varanasi, MD
• Adriana Vargas-Cortes
• Vascular Institute of the Pines, PLLC
• Peter J Vassallo, M.D.
• Reid Christopher Vegeler, M.D.

• Clinical Social Worker in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.