Active NPI
Ryan Coyle, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149026020
- Practice address
- 1165 N Clark St Ste 305
Chicago, IL 60610-7862 - Phone
- (312) 880-9913
- NPI assigned
- Aug 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09925300 | CO | |
| Clinical Social Worker | 1041C0700X | 149026020 | IL | Primary |
Addresses
Primary practice location
1165 N Clark St Ste 305
Chicago, IL 60610-7862
Mailing address
999 N Ogden St Apt 507
Denver, CO 80218-2844
Phone (847) 751-0379
Other practice location 1
999 N Ogden St Apt 507
Denver, CO 80218-2844
Phone (847) 751-0379
Other practice location 2
320 Beard Creek Rd
Edwards, CO 81632-6426
Phone (970) 945-2840
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 N Clark St
Suite 305
Chicago, IL 60610-7862
Phone (773) 234-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149026020 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Counseling Chicago | Clinical | Current | Accepting new patients |
Locations
1165 N Clark St
Ste 305
Chicago, IL 60610
Phone (312) 880-9913
Organizations & group practices 1
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": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1730669185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N OGDEN ST APT 507",
"city": "DENVER",
"state": "CO",
"postal_code": "802182844",
"telephone_number": "847-751-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 N CLARK ST STE 305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606107862",
"telephone_number": "312-880-9913"
}
],
"practiceLocations": [
{
"address_1": "999 N Ogden St Apt 507",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802182844",
"country_code": "US",
"telephone_number": "847-751-0379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 Beard Creek Rd",
"address_purpose": "LOCATION",
"city": "Edwards",
"state": "CO",
"postal_code": "816326426",
"country_code": "US",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYLE",
"first_name": "RYAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-15",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09925300",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149026020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.