Individual provider Active NPI

Karynna Bequette, LCSW

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1801579727
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012313 Issued in DE
Practice address
90 Blue Hen Dr
Newark, DE 19713-3406
Phone
(302) 485-0702
NPI assigned
Aug 8, 2023
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012313 DE Primary

Addresses

Primary practice location

90 Blue Hen Dr
Newark, DE 19713-3406

Mailing address

PO Box 1269
Hockessin, DE 19707-5269
Phone (302) 485-0702

Other practice location 1

112 N Bedford St
Georgetown, DE 19947-1466
Phone (302) 485-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000828 DE Practitioner - Clinical Social Worker 0143674630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 1850294067, 8 clinicians

Practice addresses (Care Compare)

405 Foulk Rd
Wilmington, DE 19803-3809
Phone 3026553953108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012313DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Survivors of Abuse in Recovery, Inc. Clinical CurrentSince Aug 8, 2023 Accepting new patients

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1801579727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197075269",
            "telephone_number": "302-485-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BLUE HEN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133406",
            "telephone_number": "302-485-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Bedford St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199471466",
            "country_code": "US",
            "telephone_number": "302-485-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEQUETTE",
        "first_name": "KARYNNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.