Individual provider Active NPI

Sara Marina Manisco Chapo, LICSW

  • Clinical Social Worker
  • West Lake Hills, TX
National Provider Identifier
1245609635
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67849 Issued in TX
Practice address
5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246
Phone
(512) 710-0551
Fax
(512) 717-6337
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2218 NH
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 67849 TX Primary

Addresses

Primary practice location

5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246

Mailing address

PO Box 3041
Marble Falls, TX 78654-3077
Phone (512) 710-0551

Other practice location 1

14101 W Highway 290 Ste 100
Austin, TX 78737-9332
Phone (512) 710-0551

Other identifiers 1

IdentifierTypeStateIssuer
440469102MedicaidTX

Other names 1

  • Sara Marina Chapo Other name

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
I20191114002985 TX Practitioner - Clinical Social Worker 0840531430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2218NHMDMental Health Counselor
67849TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Oaks Counseling Group, LLC Clinical CurrentSince Sep 2, 2019 Accepting new patients
Georgetown Psychological Services PLLC Multi-Specialty PastSince Aug 27, 2012 Accepting new patients

Locations

4749 Williams Dr
Ste 301
Georgetown, TX 78633
Phone (512) 710-0551

5524 Bee Caves Rd
Ste H2
West Lake Hills, TX 78746
Phone (512) 649-3050

5524 Bee Caves Rd
Ste K4
West Lake Hills, TX 78746
Phone (512) 649-3050

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1245609635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3041",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786543077",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE H2",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465246",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14101 W Highway 290 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787379332",
            "country_code": "US",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANISCO CHAPO",
        "first_name": "SARA",
        "middle_name": "MARINA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2218",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440469102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA MARINA",
            "last_name": "CHAPO",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.