Individual provider · Type 1 NPI
Michelle Martha Bautista, LCSW
Clinical Social Worker · Chicago, IL
Practice location
917 W 18th St Ste 219
Chicago, IL 60608-2400
Mailing address
PO Box 12454
Chicago, IL 60612-0454
Other practice locations
- 710 S Paulina St # 438, Chicago, IL 60612-3808 · (312) 942-9888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.011952 (IL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1346441250
Michelle Martha Bautista, LCSW's National Provider Identifier is 1346441250, issued on May 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 28, 2021.