Provider Demographics
NPI:1164434643
Name:LIGON, KATHLEEN ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ANN
Last Name:LIGON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BENT RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5100
Mailing Address - Country:US
Mailing Address - Phone:847-977-2844
Mailing Address - Fax:847-931-8962
Practice Address - Street 1:5650 NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8017
Practice Address - Country:US
Practice Address - Phone:847-977-2844
Practice Address - Fax:847-931-8962
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0028651041C0700X
MO0047891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical