Active NPI
Ryan M Sheehan, LCSW
- Clinical Social Worker
- Machesney Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.023568
- Practice address
- 2972 Vaughndale Dr
Machesney Park, IL 61115-7670 - Phone
- (815) 540-7862
- NPI assigned
- Mar 12, 2019
- Last updated
- May 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TPSW4523 | FL | MD | Clinical Social Worker |
| 149.023568 | IL | MD | Clinical Social Worker |
| LICSW1140960 | MA | MD | Clinical Social Worker |
| 0904017718 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance, Inc. | Current | Accepting new patients | |
| Brave Health Medical Group PA | Current | Accepting new patients | |
| Brightside Medical, P.a. | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | 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.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
IL
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
-
dba Rosecrance Harrison - Detox A2
- Substance Abuse Rehabilitation Facility
- Rockford, IL
- NPI 1194979237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.