Kathleen Bautista, LCSW
NPI 1063836104 · Clinical Social Worker · Lincoln, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathleen Bautista, LCSW is a Clinical Social Worker provider in Lincoln, IL (NPI 1063836104).
Provider details
- NPI number
- 1063836104
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14916428 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 319 E Madison StSpringfield, IL 62701-1035Phone: (217) 545-8000
- 520 N 4th StSpringfield, IL 62702Phone: (217) 545-8000Fax: (217) 747-1351
Registry dates
- Enumerated
- 2014-02-10
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Frequently asked questions
- What is Kathleen Bautista's NPI number?
- Kathleen Bautista's National Provider Identifier (NPI) is 1063836104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Bautista's specialty?
- Kathleen Bautista is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kathleen Bautista located?
- Kathleen Bautista's practice location on file with NPPES is 100 Stahlhut Dr, Lincoln, IL 62656-5059.
- What is Kathleen Bautista's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Bautista is (217) 735-9555.
- Does Kathleen Bautista accept Medicare?
- Kathleen Bautista is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathleen Bautista's NPI active?
- Yes — Kathleen Bautista's NPI (1063836104) is active in the NPPES registry as of the last update on 2023-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.