Individual provider · Type 1 NPI
Alexandra Ivanovsky Stobaugh, LCSW
Clinical Social Worker · Placerville, CA
Practice location
6731 Shoo Fly Rd
Placerville, CA 95667-7421
Mailing address
PO Box 1403
Placerville, CA 95667-1403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 25034 (CA) |
| Behavior Analyst | 103K00000X | 25034 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 25034 (CA) |
| Mental Health Counselor | 101YM0800X | 25034 (CA) |
Clinical Social Worker: 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 interpers…
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About NPI 1427446947
Alexandra Ivanovsky Stobaugh, LCSW's National Provider Identifier is 1427446947, issued on Jan 6, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Placerville, CA. The record was last updated on Sep 13, 2025.