MEDICARE: ALICIA MONET ESTRELLADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		MN

General Provider Information

NPI Number	:	1225971203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MONET ESTRELLADO

Provider Business Mailing Address
First Line	:	1001 KILBURN ST
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55103-1359
Country	:	US
Telephone Number	:	651-769-3530
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 PARK NICOLLET BLVD
Second Line	:
City	:	SAINT LOUIS PARK
State	:	MN
Zip	:	55416-2527
Country	:	US
Telephone Number	:	952-993-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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