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KATHLEEN BANDERA LCSW
NPI 1619735875
Social Worker - Clinical in Frankfort, IL

Active since March 11, 2024PECOS Enrolled
21569 SUTTON DALE LN, FRANKFORT, IL 60423(312) 403-7977 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathleen Bandera Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BANDERA LCSW (NPI 1619735875) is an individual clinical provider in Frankfort, Illinois, licensed in Illinois (149.007662) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619735875
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN BANDERACredential: LCSW
Location Address21569 SUTTON DALE LNFrankfort, IL 60423-2234
Mailing Address21569 Sutton Dale LnFrankfort, IL 60423-2234 · (312) 403-7977
Phone(312) 403-7977
Sole ProprietorYes
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1619735875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.007662
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
21569 SUTTON DALE LN, Frankfort, IL 60423
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Bandera Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Bandera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Illinois, PLLC
37 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Bandera's NPI number?

The NPI number for Kathleen Bandera is 1619735875. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Kathleen Bandera located?

Kathleen Bandera practices at 21569 Sutton Dale Ln, Frankfort, IL 60423. The listed phone number is (312) 403-7977.

What is Kathleen Bandera's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Bandera enrolled in Medicare?

Yes. Kathleen Bandera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Bandera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Bandera reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Bandera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Bandera was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.