MS. VICTORIA SULLIVAN LCSW
NPI 1750400677
Social Worker in Monroe, NY

Active since March 29, 2007PECOS Enrolled
677 STATE ROUTE 17M, MONROE, NY 10950(845) 618-5242 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2020, Nov 21, 2019 (2 updates tracked since 2019).

About Ms. Victoria Sullivan Lcsw NPPES

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

MS. VICTORIA SULLIVAN LCSW (NPI 1750400677) is an individual social worker in Monroe, New York, licensed in New York (R075421-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2000).

NPPES Registry Identity

NPI1750400677
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. VICTORIA SULLIVANCredential: LCSW
Location Address677 STATE ROUTE 17MMonroe, NY 10950-3318
Mailing Address31 Carol DrMonroe, NY 10950-5210 · (845) 618-5242 · Fax (877) 224-9708
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2000
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1750400677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · R075421-1
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.
677 STATE ROUTE 17M, Monroe, NY 10950

Other Identifiers 1

Medicaid04325182NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Victoria Sullivan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355438623
PECOS Enrollment IDI20071102000332
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 Victoria Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Social Worker
677 STATE ROUTE 17M
Monroe, NY 10950
  • Reassigned Medicare billing, New York enrollment
Clinical
339 BLOOMING GROVE TPKE
New Windsor, NY 12553
  • Reassigned Medicare billing, New York enrollment
  • 13 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
677 STATE ROUTE 17M
MONROE, NY 10950
Social Worker
677 STATE ROUTE 17M
MONROE, NY 10950
Social Worker (Clinical)
677 STATE ROUTE 17M
MONROE, NY 10950

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 Victoria Sullivan's NPI number?

The NPI number for Victoria Sullivan is 1750400677. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Victoria Sullivan located?

Victoria Sullivan practices at 677 State Route 17M, Monroe, NY 10950. The listed phone number is (845) 618-5242.

What is Victoria Sullivan's specialty?

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

Is Victoria Sullivan enrolled in Medicare?

Yes. Victoria Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Victoria Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Sullivan reassigns Medicare benefits to 2 organizations: Victoria Ann Sullivan Lcsw PLLC (Monroe, NY) and Michele Winchester-Vega Lcsw PLLC (New Windsor, NY). 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 Victoria Sullivan'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 Victoria Sullivan was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.