Provider Demographics
NPI:1558079822
Name:ESQUIVEL, JADE (LMSW, CAADC)
Entity Type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 NEW LINDEN HILL ROAD
Mailing Address - Street 2:SUITE 152
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808
Mailing Address - Country:US
Mailing Address - Phone:302-373-2340
Mailing Address - Fax:
Practice Address - Street 1:4550 NEW LINDEN HILL ROAD
Practice Address - Street 2:SUITE 152
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808
Practice Address - Country:US
Practice Address - Phone:302-373-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0011220104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker