CHERYL SEYBOLT – Clinical Social Worker, NPI 1417523564

CHERYL SEYBOLT is a healthcare provider. based in Allentown, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold a License No. SW131896 (PA). The NPI Number for CHERYL SEYBOLT is 1417523564

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
CHERYL SEYBOLT
NPI
1417523564
Phone
(484) 426-0161
Address
2756 ANDREA DR
Enumeration Date
30 May 2021
Last Update Date
30 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61032023661
Graduation Year
1999 (27 years ago)
PAC ID
9931558269
Group Practice PAC ID
2769817758
Professional Enrollment ID
I20231212004008
Address ID
PA181046359AL2200XSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for CHERYL SEYBOLT

  • 2756 ANDREA DR

    ALLENTOWN, PA 181034618

    Phone: (484) 426-0161

    Type: Mailing

  • 1150 GLENLIVET DR STE A15

    ALLENTOWN, PA 181063112

    Phone: (844) 696-4631

    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: 2023-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231212004008IClinical Social WorkerPATBD

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 18103)

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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: 2769817758View full group profile
NameSpecialtyState
Mental Health CounselorPA
Clinical PsychologistPA
Clinical Social WorkerPA
Mental Health CounselorPA
Clinical PsychologistPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Can I cross-check CHERYL SEYBOLT using NPI 1417523564?
NPI 1417523564 belongs to CHERYL SEYBOLT; compare other details if you need extra assurance.
Active or inactive — what applies to CHERYL SEYBOLT?
You should see CHERYL SEYBOLT as active in CMS-hosted NPPES data.
How would a patient describe CHERYL SEYBOLT's focus?
For CHERYL SEYBOLT, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is CHERYL SEYBOLT registered?
Use Allentown, Pennsylvania as the headline location for CHERYL SEYBOLT here.
Can I trust this NPI listing for CHERYL SEYBOLT?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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