Watters Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WATTERS WELLNESS PLLC

Practice address

2740 Hampton Pkwy Apt G1
Evanston, IL 60201-1637

Phone

(214) 535-8529

NPI assigned

Sep 1, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Watters, LCSW, CADCNPI 1174255103

Title

Founder / Therapist

Phone

(214) 535-8529

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Watters, LSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1174255103
  Authorized official Same address or phone

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1356259170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 N CLARK ST APT 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 HAMPTON PKWY APT G1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011637",
            "telephone_number": "214-535-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTERS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "FOUNDER / THERAPIST",
        "authorized_official_telephone_number": "214-535-8529",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradly Winston Chikara Watarai
• William Glen Watkin, M.D.
• Catherine R Watkins
• Simone Watkins, M.ED.
• Cathleen M. Watt, M.D.
• Karen Anita Watts, LPC
• Lowell Z Wax, CRNA
• Jessica Rachel Waxman, LMFT
• Ann P. Webb, APN-CRNA
• George Alexander Webb, PA-C

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.