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VICKEY O SULTZMAN LCSW
NPI 1417056334
Social Worker in Chicago, IL

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
9740 S ELLIS AVE, CHICAGO, IL 60628(773) 507-4151(773) 507-4151 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vickey O Sultzman Lcsw NPPES

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

VICKEY O SULTZMAN LCSW (NPI 1417056334) is an individual social worker in Chicago, Illinois and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1417056334
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameVICKEY O SULTZMANCredential: LCSW
Location Address9740 S ELLIS AVEChicago, IL 60628-1514
Mailing Address9740 S Ellis AveChicago, IL 60628-1514 · (773) 507-4151 · Fax (773) 507-4151
Phone(773) 507-4151
Fax(773) 507-4151
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 23, 2008
✔ NPI 1417056334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
9740 S ELLIS AVE, Chicago, IL 60628
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Other Identifiers 1

Other01626156IL · Blue Cross Blue Shield

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

Vickey O Sultzman Lcsw 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 ID9436113735
PECOS Enrollment IDI20041116001139
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 Reassignments

2

Medicare enrollment records show Vickey Sultzman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richard Kneip, Ph.D., P.C.
227 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 45 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916
Grow Healthcare Group PA
1,177 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vickey Sultzman's NPI number?

The NPI number for Vickey Sultzman is 1417056334. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Vickey Sultzman located?

Vickey Sultzman practices at 9740 S Ellis Ave, Chicago, IL 60628. The listed phone number is (773) 507-4151.

What is Vickey Sultzman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Vickey Sultzman enrolled in Medicare?

Yes. Vickey Sultzman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vickey Sultzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vickey Sultzman reassigns Medicare benefits to 2 organizations: Richard Kneip, Ph.D., P.C. (Clarkston, MI) and Grow Healthcare Group PA (Miami, FL). Each 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 Vickey Sultzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vickey Sultzman was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.