CHERYL WEBER (LICSW) – Clinical Social Worker, NPI 1356590384

CHERYL WEBER (LICSW) is a healthcare provider. based in Eagan, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 17008 (MN). The NPI Number for CHERYL WEBER (LICSW) is 1356590384

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
CHERYL WEBER (LICSW)
NPI
1356590384
Phone
(612) 584-9012
Address
4141 Old Sibley Memorial Hwy
Enumeration Date
15 September 2008
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7155316700
Graduation Year
2004 (22 years ago)
PAC ID
8729397260
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20230616000824
Address ID
WI540167848HU411XXRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for CHERYL WEBER (LICSW)

  • 4141 Old Sibley Memorial Hwy

    Eagan, MN 551221996

    Phone: (612) 584-9012

    Type: Location

  • 4141 OLD SIBLEY MEMORIAL HWY

    EAGAN, MN 551221996

    Phone: (612) 584-9012

    Type: Location

  • 535 Hospital Rd

    New Richmond, WI 540171449

    Phone: (715) 243-3400

    Type: Location

  • 8550 HUDSON BLVD N

    LAKE ELMO, MN 550425500

    Phone: (651) 254-8580

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151022001961IClinical Social WorkerMNTBD
I20230616000824IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759293954View full group profile

Reviews

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Frequently asked questions

How do I look up CHERYL WEBER (LICSW) by NPI?
Use NPI 1356590384 when you need to reference CHERYL WEBER (LICSW) in forms, claims, or directories.
Is CHERYL WEBER (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CHERYL WEBER (LICSW) work in?
You can think of CHERYL WEBER (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is CHERYL WEBER (LICSW)'s primary listing?
We display Eagan, Minnesota because that is what the record indicates for CHERYL WEBER (LICSW).
Is CHERYL WEBER (LICSW) a real provider?
This page reflects official NPPES data for NPI 1356590384. Always confirm identity and privileges with the practice and licensing boards.