Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174255103 Individual Practitioner Male Practitioner

Ryan Watters , LSW

Social Worker - Clinical • Chicago, IL

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Ryan Watters, LSW is a registered Social Worker - Clinical practitioner in Chicago, IL. With approximately 4 years of clinical practice since completing medical education in 2022, Ryan Watters provides healthcare services at the registered practice location at 1 E SUPERIOR ST STE 306.

Ryan Watters is affiliated with Tides Mental Health Of Il, Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1 E Superior St Ste 306

Chicago, IL 606112595

Telephone 3127549404
Associated Practice Facility / Clinic
🏢 Clarity Clinic Pllc Facility NPI 1063803856

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Chicago, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -12.2 yrs vs City Avg
City Avg: 16.2 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
4456 Specialists

Practicing in Chicago, IL (14000 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Watters (4 Years) 4 Yrs
Chicago Specialty Average (16.2 Years) 16.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-06-28
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Hospital & Practice Group Affiliations

Tides Mental Health Of Il, Pllc

3000 N Halsted St, Chicago, IL 606576185

Phone: 3123761665

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gabrielle Inawat , PA-C

Physician Assistant

NPI 1003790445

Physician Assistant (Certified)

Dr. Grand Mcdonald , PsyD

Psychologist - Clinical Child & Adolescent

NPI 1013561406

Doctor of Psychology (Psy.D.)

Mae Madrid , PA-C

Physician Assistant

NPI 1043167463

Physician Assistant (Certified)

Victoria Nieman

Counselor - Professional

NPI 1073071338
Lilly Parra Maggio , LPC

Counselor - Professional

NPI 1073444741

Licensed Professional Counselor

Dr. May Chammaa , MD

Psychiatry & Neurology - Psychiatry

NPI 1083352702

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2022

Registered at 1 E SUPERIOR ST STE 306, CHICAGO, IL 606112595 (Tel: 3127549404)

📍
Updated Business Mailing Address June 28, 2022

Registered at 1 E DELAWARE PL APT 28E, CHICAGO, IL 606114986 (Tel: 2145358529)

👤
Provider Name / Credentials Updated June 28, 2022

Recorded as RYAN WATTERS, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Social Worker

🟢
Initial NPI Registration & Enumeration June 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174255103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2022
Last Update: June 28, 2022
Sole Proprietor: No

Mailing Address

1 E Delaware Pl Apt 28e

Chicago, IL 606114986

Phone: 2145358529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.