Karynna Bequette, LCSW – Clinical Social Worker

Key facts

NPI: 1801579727
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: Q1-0012313 (DE)
Practice address: 405 Foulk Rd
Wilmington, DE 19803-3809
Phone: (302) 401-1369
NPI assigned: Aug 8, 2023
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Survivors of Abuse in Recovery, Inc. Family Psychologist · Wilmington, DE · NPI 1154386696

Medicare reassignment Care Compare group NPD CLINICAL · DE

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Survivors of Abuse in Recovery Inc (8 clinicians)

Practice addresses (Care Compare)

405 Foulk Rd
Wilmington, DE 19803-3809
Phone 3026553953108

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DE
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231003000828	DE	Practitioner - Clinical Social Worker	0143674630	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Survivors of Abuse in Recovery, Inc.	Clinical	Current since Aug 8, 2023	Accepting new patients

Locations

405 Foulk Rd
Wilmington, DE 19803
Phone (302) 655-1100

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	Q1-0012313	DE	Yes

Addresses

Primary practice location

405 Foulk Rd
Wilmington, DE 19803-3809

Mailing address

405 Foulk Rd
Wilmington, DE 19803-3809
Phone (302) 401-1369

Other practice location 1

507 Philadelphia Pike
Wilmington, DE 19809-2177
Phone (302) 762-8989 ext. 5507

Other providers in Wilmington, DE

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.