Individual provider Active NPI

Diane Berlinger Soteras, LCSW

  • Clinical Social Worker
  • Glenview, IL
National Provider Identifier
1992929608
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005727 Issued in IL
Practice address
2029 Ammer Ridge CT Unit 101
Glenview, IL 60025-1867
Phone
(224) 522-0639
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-18329 AZ
Clinical Social Worker 1041C0700X 149005727 IL Primary

Addresses

Primary practice location

2029 Ammer Ridge CT Unit 101
Glenview, IL 60025-1867

Mailing address

12621 N Tatum Blvd # 1983
Phoenix, AZ 85032-7710
Phone (602) 730-5689

Other practice location 1

12621 N Tatum Blvd # 1983
Phoenix, AZ 85032-7710
Phone (602) 730-5689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250402001955 IL Practitioner - Clinical Social Worker 1658894431 Reassigns benefits to 1 organization
I20260311002648 AZ Practitioner - Clinical Social Worker 1658894431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-18329AZMDClinical Social Worker
149005727ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 7, 2026 Accepting new patients
Sondermind PC Clinical CurrentSince Mar 31, 2025 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

Organizations & group practices 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1992929608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 N TATUM BLVD # 1983",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327710",
            "telephone_number": "602-730-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 AMMER RIDGE CT UNIT 101",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251867",
            "telephone_number": "224-522-0639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12621 N Tatum Blvd # 1983",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850327710",
            "country_code": "US",
            "telephone_number": "602-730-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTERAS",
        "first_name": "DIANE",
        "middle_name": "BERLINGER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18329",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.