Provider Demographics
NPI:1568185189
Name:ESTRADA, TESSA M (LCSW)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:M
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:M
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17503 LA CANTERA PKWY
Mailing Address - Street 2:STE 104 PMB 293
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-8209
Mailing Address - Country:US
Mailing Address - Phone:210-564-9116
Mailing Address - Fax:210-564-9087
Practice Address - Street 1:17503 LA CANTERA PKWY
Practice Address - Street 2:STE 104 PMB 293
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-8209
Practice Address - Country:US
Practice Address - Phone:210-564-9116
Practice Address - Fax:210-564-9087
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX594521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical