LEIZEL CEREZO-PANN
NPI 1801349394
Social Worker - Clinical in Santa Clara, CA

Q: What is Leizel Cerezo-pann's NPI number?

The NPI number for Leizel Cerezo-pann is 1801349394. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Q: What is Leizel Cerezo-pann's specialty?

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

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment

5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(323) 205-7088 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Leizel Cerezo-pann NPPES

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

LEIZEL CEREZO-PANN (NPI 1801349394) is an individual clinical provider in Santa Clara, California, licensed in California (123650) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801349394

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLEIZEL CEREZO-PANN

Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140

Mailing Address5201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140

Phone(323) 205-7088

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 1, 2016

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1801349394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 123650

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 ASW86173 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054

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Secondary Practice Locations 2

Location 19916 Central AveMontclair, CA 91763-3201 · Phone (909) 621-7068 · Fax (909) 418-6937

Location 212968 Frederick St Ste AMoreno Valley, CA 92553-5229 · Phone (951) 208-0150 · Fax (909) 418-6937

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

Leizel Cerezo-pann 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 ID749772176

PECOS Enrollment IDI20251124001856

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 Reassignment

Medicare enrollment records show Leizel Cerezo-pann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca

0.7 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

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 95054 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 $70.37 – $206.04

Typical copayment $0.00 (range $17.59 – $51.51)

Most-billed visit code NA

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

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.

MRS. DEBORAH MARIE BOUCHER-CARTER

Marriage & Family Therapist