William Bautista, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015794 Issued in IL

Practice address

2205 Point Blvd Ste 210
Elgin, IL 60123-7840

Phone

(847) 946-2958

NPI assigned

Apr 4, 2013

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Bill Bautista LCSW LLC

  dba Dr Bill Bautista & Associates

  • Clinical Social Worker
  • Elgin, IL
  • NPI 1699483156
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1023351376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "847-946-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "847-946-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NBR",
            "identifier": "149015794",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drbillbautista.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2205 Point Blvd Ste 210",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Baugh Behavioral Health Associates, PLLC
• Yolanda D Baugh, PMHNP-BC
• Roxane Marie Baum
• Joseph Patrick Baumhart, PTA
• Linda Bautista
• Diane Marie Baylor, OTR/L,CHT
• Stephen Baynai, DPT
• BDD of Illinois P.C. (Elgin Dental Associates)
• Emlo Bebo, PHARMD
• Christine Ann Becker, RN

• Clinical Social Worker in Elgin, IL
• Providers in Elgin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.