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RYAN WATTERS LSW
NPI 1174255103
Social Worker - Clinical in Chicago, IL

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611(312) 754-9404 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Watters Lsw NPPES

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

RYAN WATTERS LSW (NPI 1174255103) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174255103
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRYAN WATTERSCredential: LSW
Location Address1 E SUPERIOR ST STE 306Chicago, IL 60611-2595
Mailing Address1 E Delaware Pl Apt 28eChicago, IL 60611-4986 · (214) 535-8529
Phone(312) 754-9404
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1174255103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1 E SUPERIOR ST STE 306, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Watters Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941748065
PECOS Enrollment IDI20240820001570
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 60611 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 20

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

DR. GRAND MCDONALD PSY.D.
Psychologist (Clinical Child & Adolescent)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9404
MAE ISABELLE MADRID PA-C
Physician Assistant
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9404
GEORGIA COPE
Student in an Organized Health Care Education/Training Program
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9408
VICTORIA NIEMAN
Counselor (Professional)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9404
LILLY MICHELLE PARRA MAGGIO LPC
Counselor (Professional)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9404
MAY CHAMMAA MD
Psychiatry & Neurology (Psychiatry)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9404
MRS. COURTNEY HANSON PA-C
Physician Assistant
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 815-9660
DINHA FAROOQUI
Counselor (Mental Health)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Cook County (312) 754-9404

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 Ryan Watters's NPI number?

The NPI number for Ryan Watters is 1174255103. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Ryan Watters located?

Ryan Watters practices at 1 E Superior St Ste 306, Chicago, IL 60611. The listed phone number is (312) 754-9404.

What is Ryan Watters's specialty?

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

Is Ryan Watters enrolled in Medicare?

Yes. Ryan Watters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Watters was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.