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

MS. Kathleen Elizabeth Bautista, LCSW

Individual provider Clinical Social Worker · NPI 1063836104

MS. Kathleen Elizabeth Bautista, LCSW is a Clinical Social Worker in Lincoln, Illinois. Qualified in 2009, 17 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2014
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

100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone: (217) 735-9555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 319 E Madison St, Springfield, IL 62701-1035 — (217) 545-8000
  • 520 N 4th St, Springfield, IL 62702 — (217) 545-8000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14916428 (IL)

Record details

NPI number1063836104
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 10, 2014
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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