SANDIE LEISTIKO (MSW, MHP) – Clinical Social Worker, NPI 1336201730
Clinical Social Worker
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,397 CLINICAL SOCIAL WORKER in WA
Provider Addresses for SANDIE LEISTIKO (MSW, MHP)
601 S Carr Rd Ste 100
Renton, WA 980555802
Phone: (425) 227-3700
Fax: (425) 227-3116
Type: Location
1600, East Olive Street, Capitol Hill, Seattle, King County, Washington, 98122, United States
SEATTLE MENTAL HEALTH
SEATTLE, WA 981222735
Phone: (206) 302-2200
Fax: (206) 302-2210
Type: Mailing
New Destiny Christian Center, 1404, Central Avenue South, Kent, King County, Washington, 98032-1762, United States
SUITE 113
KENT, WA 980327433
Phone: (253) 876-7620
Fax: (253) 876-7621
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100805000627 | I | Clinical Social Worker | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WA | |
| U R O L O G Y | WA | |
| Internal Medicine | MA | |
| U R O L O G Y | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Family Practice | WA |
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