Active NPI
Lindsey Kovalik Bianchini, LCSW, LISW-CP
- Clinical Social Worker
- St Charles, IL
National Provider Identifier
1477022648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.022936
- Practice address
- 103 N 11TH Ave Ste 106
St Charles, IL 60174-2278 - Phone
- (630) 296-4169
- NPI assigned
- Nov 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.022936 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 14679 | SC | |
| Clinical Social Worker | 1041C0700X | C015433 | NC |
Addresses
Primary practice location
103 N 11TH Ave Ste 106
St Charles, IL 60174-2278
Mailing address
103 N 11TH Ave Ste 106
St Charles, IL 60174-2278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 2, 2023 through Nov 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.022936 | IL | MD | Clinical Social Worker |
| C015433 | NC | MD | Clinical Social Worker |
| 14679 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obsidian Behavioral Health PLLC | Social Worker | Current | Accepting new patients |
Locations
103 N 11th Ave
Ste 106
St Charles, IL 60174
Phone (630) 296-4169
103 N 11th Ave
Ste 105
St Charles, IL 60174
Phone (732) 407-6130
902 S Randall Rd
Ste C134
St Charles, IL 60174
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Saint Charles, IL
- NPI 1841873577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1477022648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N 11TH AVE STE 106",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N 11TH AVE STE 106",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742278",
"telephone_number": "630-296-4169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALIK BIANCHINI",
"first_name": "LINDSEY",
"credential": "LCSW, LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-17",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022936",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14679",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.