SANDIE LEISTIKO MSW, MHP
NPI 1336201730
Social Worker - Clinical in Kent, WA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
1404 CENTRAL AVE S, SUITE 113, KENT, WA 98032(253) 876-7620(253) 876-7621 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Jan 22, 2019 (2 updates tracked since 2019).

About Sandie Leistiko Msw, Mhp NPPES

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

SANDIE LEISTIKO MSW, MHP (NPI 1336201730) is an individual clinical provider in Kent, Washington, licensed in Washington (LW60073152) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Renton, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336201730
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDIE LEISTIKOCredential: MSW, MHP
Location Address1404 CENTRAL AVE S, SUITE 113Kent, WA 98032-7433
Mailing Address1600 E Olive St, Seattle Mental HealthSeattle, WA 98122-2735 · (206) 302-2200 · Fax (206) 302-2210
Fax(253) 876-7621
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1336201730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW60073152
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License RC00042775 (WA)
1404 CENTRAL AVE S, Kent, WA 98032

Secondary Practice Location 1

Location 1601 S Carr Rd Ste 100Renton, WA 98055-5802 · Phone (425) 227-3700 · Fax (425) 227-3116

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandie Leistiko Msw, Mhp 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 ID4789717166
PECOS Enrollment IDI20100805000627
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98032 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.

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered
1404 CENTRAL AVE S, SUITE 112
KENT, WA 98032
Dental Hygienist
1404 CENTRAL AVE S, SUITE101
KENT, WA 98032
Counselor (Professional)
1404 CENTRAL AVE S, SUITE 113
KENT, WA 98032
Dental Hygienist
1404 CENTRAL AVE S
KENT, WA 98032
Counselor (Mental Health)
1404 CENTRAL AVE S, SUITE 113
KENT, WA 98032
Dental Hygienist
1404 CENTRAL AVE S, SUITE 101
KENT, WA 98032
Dental Hygienist
1404 CENTRAL AVE S, SUITE 101
KENT, WA 98032
Counselor (Professional)
1404 CENTRAL AVE S, SOUND MENTAL HEALTH, SUITE 113
KENT, WA 98032

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 Sandie Leistiko's NPI number?

The NPI number for Sandie Leistiko is 1336201730. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Sandie Leistiko located?

Sandie Leistiko practices at 1404 Central Ave S Suite 113, Kent, WA 98032. The listed phone number is (253) 876-7620.

What is Sandie Leistiko's specialty?

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

Is Sandie Leistiko enrolled in Medicare?

Yes. Sandie Leistiko 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.

What insurance does Sandie Leistiko accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sandie Leistiko 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 Sandie Leistiko was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.