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CHERYL A. PROCACCINI
NPI 1891454153
Social Worker - Clinical in Newport Beach, CA

Active since December 14, 2021Opted out of Medicare · through Nov 14, 2027
4540 CAMPUS DR STE 107, NEWPORT BEACH, CA 92660(949) 510-7666 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cheryl A. Procaccini NPPES

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

CHERYL A. PROCACCINI (NPI 1891454153) is an individual clinical provider in Newport Beach, California, licensed in California (LCS20604) and active in the NPI registry since December 2021. She has opted out of Medicare through November 14, 2027.

NPPES Registry Identity

NPI1891454153
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHERYL A. PROCACCINI
Location Address4540 CAMPUS DR STE 107Newport Beach, CA 92660-1815
Mailing Address1278 Glenneyre St # 171Laguna Beach, CA 92651-3103 · (949) 510-7666
Phone(949) 510-7666
Sole ProprietorYes
Enumeration DateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1891454153 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 CA · LCS20604
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.
4540 CAMPUS DR STE 107, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Cheryl A. Procaccini has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2023 through November 14, 2027.

Opt-Out Effective DateNovember 14, 2023
Opt-Out In Effect ThroughNovember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Procaccini's NPI number?

The NPI number for Cheryl Procaccini is 1891454153. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Cheryl Procaccini located?

Cheryl Procaccini practices at 4540 Campus Dr Ste 107, Newport Beach, CA 92660. The listed phone number is (949) 510-7666.

What is Cheryl Procaccini's specialty?

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

Is Cheryl Procaccini enrolled in Medicare?

No. Cheryl Procaccini has opted out of Medicare through November 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cheryl Procaccini was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.