Active NPI
Sobrino Counseling PLLC
- Clinical Social Worker
- Glen Carbon, IL
National Provider Identifier
1619767142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Sobrino, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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.