Provider Demographics
NPI:1558079822
Name:ESQUIVEL, JADE (LCSW, CAADC)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:LCSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 EAST ST
Mailing Address - Street 2:
Mailing Address - City:MARYDEL
Mailing Address - State:DE
Mailing Address - Zip Code:19964-2160
Mailing Address - Country:US
Mailing Address - Phone:302-373-2340
Mailing Address - Fax:
Practice Address - Street 1:53 EAST ST
Practice Address - Street 2:
Practice Address - City:MARYDEL
Practice Address - State:DE
Practice Address - Zip Code:19964-2160
Practice Address - Country:US
Practice Address - Phone:302-373-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0011220104100000X
DEQ1-00125261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker