CHERYL BIRMINGHAM LCSW
NPI 1679958359
Social Worker - Clinical in Rio Rancho, NM

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
80.33/100
CMS Quality Rating
184 UNSER BLVD NE, RIO RANCHO, NM 87124(505) 896-0928 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2025, Feb 7, 2019, Jan 7, 2019 and 1 more (4 updates tracked since 2018).

About Cheryl Birmingham Lcsw NPPES

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

CHERYL BIRMINGHAM LCSW (NPI 1679958359) is an individual clinical provider in Rio Rancho, New Mexico, licensed in New Mexico (C-10619) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679958359
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHERYL BIRMINGHAMCredential: LCSW
Location Address184 UNSER BLVD NERio Rancho, NM 87124-4045
Mailing Address300 Martha St NeAlbuquerque, NM 87123-2921 · (401) 787-4280
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 23, 2015
Last NPPES UpdateMay 24, 20254 updates tracked since enumeration
NPPES CertifiedMay 24, 2025
NPI 1679958359 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 NM · C-10619
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.
184 UNSER BLVD NE, Rio Rancho, NM 87124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cheryl Birmingham Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749664001
PECOS Enrollment IDI20220906000829
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.79
Promoting Interoperability100
Improvement Activities40
Cost72.64

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Case Manager/Care Coordinator
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Counselor
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Case Manager/Care Coordinator
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Family Medicine
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Counselor (Mental Health)
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Social Worker
184 UNSER BLVD NE
RIO RANCHO, NM 87124
Counselor (Professional)
184 UNSER BLVD NE
RIO RANCHO, NM 87124

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 Cheryl Birmingham's NPI number?

The NPI number for Cheryl Birmingham is 1679958359. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Cheryl Birmingham located?

Cheryl Birmingham practices at 184 Unser Blvd NE, Rio Rancho, NM 87124. The listed phone number is (505) 896-0928.

What is Cheryl Birmingham's specialty?

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

Is Cheryl Birmingham enrolled in Medicare?

Yes. Cheryl Birmingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cheryl Birmingham accept?

Health plans from Providence Health Plan list Cheryl Birmingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheryl Birmingham was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.