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SANDRA MILENA GORDILLO ACOSTA MSW, LICSW
NPI 1255805081
Social Worker - Clinical in Seattle, WA

Active since January 15, 2019PECOS Enrolled
3084 SW AVALON WAY APT 704, SEATTLE, WA 98126(206) 972-5823 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, Jan 15, 2019 (2 updates tracked since 2019).

About Sandra Milena Gordillo Acosta Msw, Licsw NPPES

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

SANDRA MILENA GORDILLO ACOSTA MSW, LICSW (NPI 1255805081) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW61475035) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1255805081
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA MILENA GORDILLO ACOSTACredential: MSW, LICSW
Location Address3084 SW AVALON WAY APT 704Seattle, WA 98126-2766
Mailing Address3084 Sw Avalon Way Apt 704Seattle, WA 98126-2766 · (206) 972-5823
Phone(206) 972-5823
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1255805081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61475035
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3084 SW AVALON WAY APT 704, Seattle, WA 98126
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Other Names 1

Other Name (5)Sandra Milena Gordillo Acosta Licsw

Secondary Practice Location 1

Location 15316 Rainier Ave SSeattle, WA 98118-2398 · Phone (206) 721-5600 · Fax (206) 326-3825

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Milena Gordillo Acosta Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sandra Gordillo Acosta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
4.2 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561

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 98126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sandra Gordillo Acosta's NPI number?

The NPI number for Sandra Gordillo Acosta is 1255805081. It was assigned to this individual provider in the NPPES registry on January 15, 2019. The provider is also known as Sandra Milena Gordillo Acosta Licsw.

Where is Sandra Gordillo Acosta located?

Sandra Gordillo Acosta practices at 3084 SW Avalon Way Apt 704, Seattle, WA 98126. The listed phone number is (206) 972-5823.

What is Sandra Gordillo Acosta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sandra Gordillo Acosta enrolled in Medicare?

Yes. Sandra Gordillo Acosta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Gordillo Acosta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Gordillo Acosta reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). 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 Sandra Gordillo Acosta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Gordillo Acosta accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sandra Gordillo Acosta 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 Sandra Gordillo Acosta was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.