NPIMap

Jade Esquivel, LCSW, CAADC

Individual provider Active NPI Clinical Social Worker · Marydel, DE

NPI 1558079822 · NPPES record last updated Oct 13, 2024

Key facts

NPI
1558079822
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
Q1-0012526 (DE)
Practice address
53 East St
Marydel, DE 19964-2160
Phone
(302) 373-2340
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
Q3-0011220DEMDSocial Worker
Q1-0012526DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Growth Therapy LLC Clinical Current
since Nov 3, 2024		 Accepting new patients
Diamond State Counseling, LLC Past
since Nov 1, 2022		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Q3-0011220 DE
Clinical Social Worker 1041C0700X Q1-0012526 DE Yes

Addresses

Primary practice location

53 East St
Marydel, DE 19964-2160

Mailing address

53 East St
Marydel, DE 19964-2160
Phone (302) 373-2340

Other providers in Marydel, DE

All providers in Marydel, DE · Clinical Social Worker in Delaware

Sources for this page

Verify at the official NPI Registry.