ALEXANDRA IVANOVSKY STOBAUGH LCSW NPI 1427446947

NPI Information

  • NPI: 1427446947
  • Provider Name: ALEXANDRA IVANOVSKY STOBAUGH, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6731 SHOO FLY RD
    PLACERVILLE, CA
    ZIP 95667
  • Phone: (530) 363-8681

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NPI Details

Alexandra Ivanovsky Stobaugh, LCSW is a clinical social worker in Placerville, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Alexandra Ivanovsky Stobaugh, LCSW NPI is 1427446947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6731 SHOO FLY RD
PLACERVILLE, CA
ZIP 95667-421
Phone: (530) 363-8681

The NPI 1427446947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/6/2015 and was last updated on 9/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional25034CALIFORNIANo
2103K00000XBehavior Analyst25034CALIFORNIANo
31041C0700XSocial WorkerClinical25034CALIFORNIAYes
4101YM0800XCounselorMental Health25034CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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