Provider Demographics
NPI:1386533883
Name:ESTRADA, ESTRELLA (MSW, ACSW, PPSC)
Entity type:Individual
Prefix:MRS
First Name:ESTRELLA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:MSW, ACSW, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 MOHR LN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3833
Mailing Address - Country:US
Mailing Address - Phone:925-685-1011
Mailing Address - Fax:
Practice Address - Street 1:1026 MOHR LN
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3833
Practice Address - Country:US
Practice Address - Phone:925-685-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99799104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker