REBECCA LYLE SULKIN LICSW
NPI 1174253082
Social Worker - Clinical in Minneapolis, MN
About Rebecca Lyle Sulkin Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA LYLE SULKIN LICSW (NPI 1174253082) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (26398) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebecca Lyle Sulkin Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Sulkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 clinicians in this Medicare group
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 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 Rebecca Sulkin's NPI number?
The NPI number for Rebecca Sulkin is 1174253082. It was assigned to this individual provider in the NPPES registry on June 14, 2022. The provider is also known as Becky Lyle Sulkin Licsw.
Where is Rebecca Sulkin located?
Rebecca Sulkin practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (314) 910-1703.
What is Rebecca Sulkin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Rebecca Sulkin enrolled in Medicare?
Yes. Rebecca Sulkin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rebecca Sulkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Sulkin reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, MN). The 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 Rebecca Sulkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Sulkin accept?
Health plans from HealthPartners list Rebecca Sulkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rebecca Sulkin was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rebecca Lyle Sulkin, LICSW · NPI 1174253082
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1174253082 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 26398 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 CHICAGO AVE, Minneapolis, MN 55404-4518
- **Phone:** (314) 910-1703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174253082) · Data from the CMS NPPES public registry.