SAMUEL SHOVERS LSW
NPI 1235892068
Social Worker - Clinical in Chicago, IL

Active since October 19, 2021PECOS Enrolled
2400 N ASHLAND AVE, CHICAGO, IL 60614(773) 904-2597 Get Directions Write a Review

NPPES record last updated: February 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2022, Oct 19, 2021 (2 updates tracked since 2021).

About Samuel Shovers Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL SHOVERS LSW (NPI 1235892068) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (150.105367) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235892068
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL SHOVERSCredential: LSW
Location Address2400 N ASHLAND AVEChicago, IL 60614-2021
Mailing Address1552 W Fullerton Ave # 100Chicago, IL 60614-9018
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 19, 2021
Last NPPES UpdateFebruary 6, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2022
NPI 1235892068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 150.105367
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2400 N ASHLAND AVE, Chicago, IL 60614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Shovers Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628501046
PECOS Enrollment IDI20241023004660
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
2400 N ASHLAND AVE, SUITE 100
CHICAGO, IL 60614
Physician Assistant
2400 N ASHLAND AVE
CHICAGO, IL 60614
Clinic/Center (Urgent Care)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Family Medicine
2400 N ASHLAND AVE, SUITE 150
CHICAGO, IL 60614
Counselor
2400 N ASHLAND AVE
CHICAGO, IL 60614
Physician Assistant (Medical)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Urology (Pediatric Urology)
2400 N ASHLAND AVE, SUITE 200
CHICAGO, IL 60614
Physician Assistant
2400 N ASHLAND AVE
CHICAGO, IL 60614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Shovers's NPI number?

The NPI number for Samuel Shovers is 1235892068. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Samuel Shovers located?

Samuel Shovers practices at 2400 N Ashland Ave, Chicago, IL 60614. The listed phone number is (773) 904-2597.

What is Samuel Shovers's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samuel Shovers enrolled in Medicare?

Yes. Samuel Shovers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Shovers was last updated on February 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.