Individual provider Active NPI

John Robert Sabino, LICSW

  • Clinical Social Worker
  • Woodbury, MN
National Provider Identifier
1124263223
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15272 Issued in MN
Practice address
7582 Currell Blvd
Ste 208
Woodbury, MN 55125-2262
Phone
(651) 739-7539
Fax
(651) 730-9200
NPI assigned
Dec 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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 15272 MN Primary

Addresses

Primary practice location

7582 Currell Blvd
Ste 208
Woodbury, MN 55125-2262

Mailing address

7582 Currell Blvd
Ste 208
Woodbury, MN 55125-2262
Phone (651) 739-7539

Other identifiers 1

IdentifierTypeStateIssuer
190157500MedicaidMN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Natalis Counseling and Psychology Solutions, P.a. CurrentSince May 7, 2020 Accepting new patients

Locations

7582 Currell Blvd
Ste 208
Woodbury, MN 55125
Phone (651) 348-9284

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1124263223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD",
            "address_2": "STE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD",
            "address_2": "STE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABINO",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190157500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.