Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristine Bukala, LCSW

Individual provider Clinical Social Worker · NPI 1336679455

Kristine Bukala, LCSW is a Clinical Social Worker in Channahon, Illinois. Qualified in 2014, 12 years ago. Practices with Alliance Counseling and Coaching of Illinois LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

25224 W Eames St Ste C
Channahon, IL 60410-5256
Phone: (815) 467-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149019565 (IL)
Social Worker Taxonomy 104100000X · Licence 150015098 (IL)

Record details

NPI number1336679455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESMay 13, 2024
Certification dateMay 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Alliance Counseling And Coaching Of Illinois Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Channahon