Individual provider Active NPI

Ryan Coyle, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730669185
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026020 Issued in IL
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

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515001701 IL Practitioner - Clinical Social Worker 0941623474 Reassigns benefits to 1 organization

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
Clearwater Counseling ChicagoGroup PAC ID 4284048117, 2 clinicians

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

LicenseStateTypeSpecialty
149026020ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Counseling Chicago Clinical CurrentSince Feb 16, 2025 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

Verify at the official NPI Registry.