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ALEXANDRA IVANOVSKY STOBAUGH LCSW
NPI 1427446947
Social Worker - Clinical in Placerville, CA

Active since January 06, 2015PECOS Enrolled
6731 SHOO FLY RD, PLACERVILLE, CA 95667(530) 363-8681 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2025, Oct 21, 2021 (2 updates tracked since 2021).

About Alexandra Ivanovsky Stobaugh Lcsw NPPES

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

ALEXANDRA IVANOVSKY STOBAUGH LCSW (NPI 1427446947) is an individual clinical provider in Placerville, California, licensed in California (25034) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427446947
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDRA IVANOVSKY STOBAUGHCredential: LCSW
Location Address6731 SHOO FLY RDPlacerville, CA 95667-7421
Mailing AddressPo Box 1403Placerville, CA 95667-1403 · (530) 363-8681
Phone(530) 363-8681
Sole ProprietorYes
Enumeration DateJanuary 6, 2015
Last NPPES UpdateSeptember 13, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2025
✔ NPI 1427446947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 25034
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 25034 (CA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 25034 (CA)
Also ListedBehavior AnalystTaxonomy 103K00000X · License 25034 (CA)
6731 SHOO FLY RD, Placerville, CA 95667
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Ivanovsky Stobaugh Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95667 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stobaugh's NPI number?

The NPI number for Alexandra Stobaugh is 1427446947. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Alexandra Stobaugh located?

Alexandra Stobaugh practices at 6731 Shoo Fly Rd, Placerville, CA 95667. The listed phone number is (530) 363-8681.

What is Alexandra Stobaugh's specialty?

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

Is Alexandra Stobaugh enrolled in Medicare?

Yes. Alexandra Stobaugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Stobaugh was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.