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

Michelle Martha Bautista, LCSW

Individual provider Clinical Social Worker · NPI 1346441250

Michelle Martha Bautista, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2003, 23 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2007
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

917 W 18th St Ste 219
Chicago, IL 60608-2400
Phone: (773) 480-3412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 S Paulina St # 438, Chicago, IL 60612-3808 — (312) 942-9888

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.011952 (IL)

Record details

NPI number1346441250
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 29, 2007
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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