Individual provider Active NPI

Alexandra Savage, LCSW

  • Clinical Social Worker
  • San Luis Obispo, CA
National Provider Identifier
1508405614
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110869 Issued in CA
Practice address
2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone
(805) 781-4718
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110869 CA Primary

Addresses

Primary practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Mailing address

PO Box 3551
San Luis Obispo, CA 93403-3551
Phone (562) 304-9090

Other practice location 1

1011 Pacific St
San Luis Obispo, CA 93401-3600
Phone (805) 538-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110869CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexann Calabash Masiko-Meyer Summer Sessions Counseling Mental Health CurrentSince Aug 28, 2022 Accepting new patients

Locations

1011 Pacific St
San Luis Obispo, CA 93401
Phone (805) 270-5830

1011 Pacific St
Ste 200
San Luis Obispo, CA 93401
Phone (408) 641-0387

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1508405614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3551",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934033551",
            "telephone_number": "562-304-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014558",
            "telephone_number": "805-781-4718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Pacific St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013600",
            "country_code": "US",
            "telephone_number": "805-538-1836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.