Ivanovsky, Alexandra

Ivanovsky, Alexandra is an sole proprietor health care provider with primary practice located at 6731 Shoo Fly Rd , Placerville CA 95667-7421. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ivanovsky, Alexandra can be contacted via phone (530) 363-8681.

Contact Information

Primary practice address
6731 Shoo Fly Rd Placerville CA 95667-7421
Phone: (530) 363-8681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 25034 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 25034 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 25034 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25034 California

Profile Details

NPI number 1427446947
LBN Legal business name Ivanovsky, Alexandra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2015
Last updated Oct 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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