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CHERYL LYNN POLYUDHAPOOM LCSW
NPI 1699220509
Social Worker - Clinical in Bakersfield, CA

Active since August 20, 2016PECOS Enrolled
6931 WATER WHEEL DR, BAKERSFIELD, CA 93313(661) 421-4656 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2022, Aug 20, 2016 (2 updates tracked since 2016).

About Cheryl Lynn Polyudhapoom Lcsw NPPES

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

CHERYL LYNN POLYUDHAPOOM LCSW (NPI 1699220509) is an individual clinical provider in Bakersfield, California, licensed in California (98339) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.

NPPES Registry Identity

NPI1699220509
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHERYL LYNN POLYUDHAPOOMCredential: LCSW
Location Address6931 WATER WHEEL DRBakersfield, CA 93313-4524
Mailing Address6931 Water Wheel DrBakersfield, CA 93313-4524 · (661) 421-4656
Phone(661) 421-4656
Sole ProprietorYes
Enumeration DateAugust 20, 2016
Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1699220509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 98339
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 65803 (CA)
6931 WATER WHEEL DR, Bakersfield, CA 93313
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Other Names 1

Former Name (1)Cheryl Lynn Rubiaco Msw, Asw

Secondary Practice Location 1

Location 11430 Truxtun Ave Fl 5Bakersfield, CA 93301-5243 · Phone (661) 665-6077 ext. 702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cheryl Lynn Polyudhapoom 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 Reassignments

2

Medicare enrollment records show Cheryl Polyudhapoom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
210 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,393 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 93313 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 $59.26 – $178.09
Typical copayment $0.00 (range $14.81 – $44.52)
Most-billed visit code NA
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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 Cheryl Polyudhapoom's NPI number?

The NPI number for Cheryl Polyudhapoom is 1699220509. It was assigned to this individual provider in the NPPES registry on August 20, 2016. The provider is also known as Cheryl Lynn Rubiaco Msw, Asw.

Where is Cheryl Polyudhapoom located?

Cheryl Polyudhapoom practices at 6931 Water Wheel Dr, Bakersfield, CA 93313. The listed phone number is (661) 421-4656.

What is Cheryl Polyudhapoom's specialty?

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

Is Cheryl Polyudhapoom enrolled in Medicare?

Yes. Cheryl Polyudhapoom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cheryl Polyudhapoom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cheryl Polyudhapoom reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). 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 Polyudhapoom'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 Polyudhapoom was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.