Individual provider Active NPI

Sara Masterson, LCSW

  • Clinical Social Worker
  • Mineral Wells, TX
National Provider Identifier
1215824248
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106300 Issued in TX
Practice address
876 Inspiration Point Rd
Mineral Wells, TX 76067-1278
Phone
(817) 614-9336
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 106300 TX Primary

Addresses

Primary practice location

876 Inspiration Point Rd
Mineral Wells, TX 76067-1278

Mailing address

876 Inspiration Point Rd
Mineral Wells, TX 76067-1278
Phone (817) 614-9336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801002591 TX Practitioner - Clinical Social Worker 5395253256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond the Gray Sky LLCGroup PAC ID 1759722606, 4 clinicians

Practice addresses (Care Compare)

1700 Covemeadow Dr
Arlington, TX 76012-5407
Phone (903) 316-0472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106300TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond the Gray Sky LLC CurrentSince Jun 10, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1215824248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 INSPIRATION POINT RD",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760671278",
            "telephone_number": "817-614-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 INSPIRATION POINT RD",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760671278",
            "telephone_number": "817-614-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.