ALEXANDRA LIBSTAG
NPI 1295408623
Social Worker - Clinical in Boston, MA

Active since July 30, 2021Opted out of Medicare · through Nov 11, 2026
1153 CENTRE ST, BOSTON, MA 02130(617) 983-7216 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra Libstag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA LIBSTAG (NPI 1295408623) is an individual clinical provider in Boston, Massachusetts and active in the NPI registry since July 2021. She has opted out of Medicare through November 11, 2026.

NPPES Registry Identity

NPI1295408623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDRA LIBSTAG
Location Address1153 CENTRE STBoston, MA 02130-3446
Mailing Address39 Surrey St # 2Brighton, MA 02135-2722 · (802) 318-3037
Sole ProprietorNo
Enumeration DateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
NPI 1295408623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
1153 CENTRE ST, Boston, MA 02130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Alexandra Libstag has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 11, 2024 through November 11, 2026.

Opt-Out Effective DateNovember 11, 2024
Opt-Out In Effect ThroughNovember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130
Nurse Practitioner (Adult Health)
1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130
Pharmacist
1153 CENTRE ST
BOSTON, MA 02130
Surgery (Surgical Oncology)
1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130
Physician Assistant
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Physician Assistant
1153 CENTRE ST
BOSTON, MA 02130
Internal Medicine
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Psychiatric Unit
1153 CENTRE ST
BOSTON, MA 02130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Libstag's NPI number?

The NPI number for Alexandra Libstag is 1295408623. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Alexandra Libstag located?

Alexandra Libstag practices at 1153 Centre St, Boston, MA 02130. The listed phone number is (617) 983-7216.

What is Alexandra Libstag's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alexandra Libstag enrolled in Medicare?

No. Alexandra Libstag has opted out of Medicare through November 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alexandra Libstag was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.