Organization Active NPI

Sobrino Counseling PLLC

  • Clinical Social Worker
  • Glen Carbon, IL
National Provider Identifier
1619767142
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOBRINO COUNSELING PLLC
Practice address
22 Jennifer Dr
Glen Carbon, IL 62034-3055
Phone
(618) 363-8372
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Amy Sobrino, LCSWNPI 1205308079
Title
Ceo/Owner
Phone
(618) 363-8372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

22 Jennifer Dr
Glen Carbon, IL 62034-3055

Mailing address

22 Jennifer Dr
Glen Carbon, IL 62034-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250626002815 IL Part B Supplier - Clinic/Group Practice 2365954039 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Carbon, IL
O20250714001572 MO Part B Supplier - Clinic/Group Practice 2365954039 Receives reassigned benefits from 1 practitioner
Practice locations: Hawk Point, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1619767142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 JENNIFER DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 JENNIFER DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343055",
            "telephone_number": "618-363-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRINO COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "SOBRINO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-363-8372",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.