Individual provider Active NPI

Ryan Womack

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1669030318
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028701 Issued in IL
Practice address
1542 W Devon Ave
Chicago, IL 60660-1344
Phone
(773) 465-4600
NPI assigned
May 29, 2019
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.028701 IL Primary
Clinical Social Worker 1041C0700X I.2304483 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.162437 OH

Addresses

Primary practice location

1542 W Devon Ave
Chicago, IL 60660-1344

Mailing address

1542 W Devon Ave
Chicago, IL 60660-1344
Phone (614) 987-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230913000373 OH Practitioner - Clinical Social Worker 8426412230 Reassigns benefits to 1 organization
I20251001002309 IL Practitioner - Clinical Social Worker 8426412230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamdard Health AllianceGroup PAC ID 4880680289, 18 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1542 W Devon Ave
Chicago, IL 60660-1344
Phone (630) 835-1430

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCDCIII.162437OHMDAddiction (Substance Use Disorder) Counselor
149.028701ILMDClinical Social Worker
I.2304483OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Equitas Health, Inc CurrentSince Jun 16, 2023 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Hamdard Health Alliance CurrentSince Oct 15, 2025 Accepting new patients
Hamdard Health Alliance CurrentSince Oct 15, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Equitas Health, Inc CurrentSince Jun 16, 2023 Accepting new patients

Locations

228 E Lake St
Addison, IL 60101
Phone (630) 835-1430

1542 W Devon Ave
Chicago, IL 60660
Phone (773) 465-4600

416 Main St
Ste 601
Peoria, IL 61602
Phone (217) 341-6550

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

1105 Schrock Rd
Ste 400
Columbus, OH 43229

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

L3842
Columbus, OH 43260

Organizations & group practices 7

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1669030318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "614-987-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "773-465-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304483",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.