Individual provider Active NPI

Bianca Harenberg, LCSW

  • Clinical Social Worker
  • Bolingbrook, IL
National Provider Identifier
1477150456
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023564 Issued in IL
Practice address
180 Beaver Creek Dr
Bolingbrook, IL 60490-5559
Phone
(630) 788-1719
NPI assigned
Oct 3, 2020
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149023564 IL Primary

Addresses

Primary practice location

180 Beaver Creek Dr
Bolingbrook, IL 60490-5559

Mailing address

180 Beaver Creek Dr
Bolingbrook, IL 60490-5559
Phone (630) 788-1719

Other practice location 1

1748 N Kimball Ave Ste 206
Chicago, IL 60647-4806
Phone (312) 248-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149023564ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Soul Counseling PLLC Clinical CurrentSince Jun 26, 2022 Accepting new patients
Your Story Counseling, P.C. Clinical PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1477150456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BEAVER CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905559",
            "telephone_number": "630-788-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BEAVER CREEK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905559",
            "telephone_number": "630-788-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1748 N Kimball Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606474806",
            "country_code": "US",
            "telephone_number": "312-248-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARENBERG",
        "first_name": "BIANCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.