Carolyn Sasich Leitko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1382683501 Issued in UT

Practice address

1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348

Phone

(801) 265-2000

Fax

(801) 265-2008

NPI assigned

Jul 24, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Leitko Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487676847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EAST 3900 SOUTH",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITKO",
        "first_name": "CAROLYN",
        "middle_name": "SASICH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1382683501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "LEITKO",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Diane Leishman
• Nathan Leishman, RBT
• Ryan Leister
• Guy Leitch
• Lindsay McCauley Leither, D.O.
• Shamar L Lejardi, RN
• Alyson Lelandais
• Brooke Ashley Lemaster
• Kelly N. Lembke, MD
• Cara M. Lembo, MD

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.