Patrick Sobol, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020343 Issued in IL

Practice address

2220 S State Route 157 Ste 200F
Glen Carbon, IL 62034-1724

Phone

(618) 973-8019

NPI assigned

Jan 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Insightful Minds Counseling

  • Community/Behavioral Health Agency
  • Glen Carbon, IL
  • NPI 1922661545
  Medicare reassignment NPD

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1043784382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 S STATE ROUTE 157 STE 200F",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S STATE ROUTE 157 STE 200F",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341724",
            "telephone_number": "618-973-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "PATRICK",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-21",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartholomew Smarr
• Kate Smith
• Kayla Smith
• Paul Vincent Smith
• Jesse Snyder, DMD
• Sobrino Counseling PLLC
• James Sola, MD
• Robyn Rae Somraty, OTR/L
• Sones Family Dental, LLC
• Southern Il Institute of Behavioral Health PC

• Clinical Social Worker in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.