Active NPI
Samuel James Ligon, LCSW
- Clinical Social Worker
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019054
- Practice address
- 2285 Sequoia Dr
Aurora, IL 60506-6209 - Phone
- (630) 906-5120
- NPI assigned
- May 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019054 | IL | Primary |
Addresses
Primary practice location
2285 Sequoia Dr
Aurora, IL 60506-6209
Mailing address
2357 Sequoia Dr
Aurora, IL 60506-6222
Phone (630) 907-3969
Other practice location 1
8207 Red Bark Ln
Cary, IL 60013-6115
Phone (443) 812-3218
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | sligon207913@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2285 Sequoia Dr
Aurora, IL 60506-6209
Phone (630) 859-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019054 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700
2285 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700
2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700
28594 Network Pl
Chicago, IL 60673
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Interoperability endpoints
- sligon207913@direct.myadvocateaurora.org
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.
-
- Multi-Specialty Clinic/Center
- Aurora, IL
- NPI 1003542184
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1003342296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 SEQUOIA DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605066222",
"telephone_number": "630-907-3969",
"fax_number": "630-907-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 SEQUOIA DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605066209",
"telephone_number": "630-906-5120"
}
],
"practiceLocations": [
{
"address_1": "8207 Red Bark Ln",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "IL",
"postal_code": "600136115",
"country_code": "US",
"telephone_number": "443-812-3218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGON",
"first_name": "SAMUEL",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-07",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2285 Sequoia Dr",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605066209",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sligon207913@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2285 Sequoia Dr",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605066209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.