CHERYL BIRMINGHAM LCSW
NPI 1679958359
Social Worker - Clinical in Rio Rancho, NM
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Cheryl Birmingham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rio Rancho, NM 87124
- Reassigned Medicare billing, New Mexico enrollment
- 322 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, New Mexico enrollment
- 23 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organizations bill Medicare for Cheryl Birmingham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cheryl Birmingham reassigns Medicare benefits to 2 organizations: Presbyterian Medical Services (Rio Rancho, NM) and Mental Health Specialty Group PA (Durham, NC). Each 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 Cheryl Birmingham'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 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 17 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.
# Cheryl Birmingham, LCSW · NPI 1679958359
Clinical provider in Rio Rancho, New Mexico. Individual provider, active in the CMS NPPES registry since July 23, 2015.
## Identity
- **NPI:** 1679958359 (Entity type: Individual)
- **Enumerated:** July 23, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C-10619 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 184 UNSER BLVD NE, Rio Rancho, NM 87124-4045
- **Phone:** (505) 896-0928
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Presbyterian Medical Services (NPI 1871505032, Rio Rancho, NM); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679958359) · Data from the CMS NPPES public registry.