Individual provider Active NPI

Ryan M Sheehan, LCSW

  • Clinical Social Worker
  • Machesney Park, IL
National Provider Identifier
1235697954
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023568 Issued in IL
Practice address
2972 Vaughndale Dr
Machesney Park, IL 61115-7670
Phone
(815) 540-7862
NPI assigned
Mar 12, 2019
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.023568 IL Primary
Clinical Social Worker 1041C0700X LICSW1140960 MA
Clinical Social Worker 1041C0700X TPSW4523 FL
Clinical Social Worker 1041C0700X 0904017718 VA

Addresses

Primary practice location

2972 Vaughndale Dr
Machesney Park, IL 61115-7670

Mailing address

2972 Vaughndale Dr
Machesney Park, IL 61115-7670
Phone (815) 540-7862

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000176 IL Practitioner - Clinical Social Worker 1456755776 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

1440 W Taylor St
Chicago, IL 60607-4623
Phone (415) 360-3348

332 S Michigan Ave
Chicago, IL 60604-4301
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW4523FLMDClinical Social Worker
149.023568ILMDClinical Social Worker
LICSW1140960MAMDClinical Social Worker
0904017718VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
Rosecrance, Inc. CurrentSince Jul 29, 2021 Accepting new patients
Brave Health Medical Group PA CurrentSince Apr 1, 2024 Accepting new patients
Brightside Medical, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Rosecrance Inc CurrentSince Jul 29, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1235697954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 VAUGHNDALE DR",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611157670",
            "telephone_number": "815-540-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 VAUGHNDALE DR",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611157670",
            "telephone_number": "815-540-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023568",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1140960",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW4523",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

Verify at the official NPI Registry.