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

Richard Bautista

Individual provider Clinical Social Worker · NPI 1235253493

Richard Bautista is a Clinical Social Worker in New York, New York. Graduated from Fordham University School of Medicine in 1975, 51 years ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
51
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2007

Practice location Address checks out

651 Academy St
New York, NY 10034-5003
Phone: (212) 942-0043
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 018964 (NY)

Record details

NPI number1235253493
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Jewish Board Of Family And Childrens Services Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York