Individual provider Active NPI

Levin E Manabat, MSW, LCSW, LICSW

  • Clinical Social Worker
  • Chaparral, NM
National Provider Identifier
1740926120
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11854 Issued in OR
Practice address
1405 Thar Desert Dr
Chaparral, NM 88081-7152
Phone
(971) 381-8125
Fax
(971) 600-9027
NPI assigned
May 9, 2022
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2024-0731 NM
Clinical Social Worker 1041C0700X L11854 OR Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1405 Thar Desert Dr
Chaparral, NM 88081-7152

Mailing address

1405 Thar Desert Dr
Chaparral, NM 88081-7152
Phone (971) 381-8125

Other practice location 1

2403 SE Monroe St Ste A
Milwaukie, OR 97222-7646
Phone (541) 900-4285

Other practice location 2

15420 SE Rainier Ct
Clackamas, OR 97015-9410
Phone (971) 381-8125

Other practice location 3

10700 SW Beaverton Hillsdale Hwy
Building 3, Suite 560
Beaverton, OR 97005
Phone (503) 628-9452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L11854ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Manabat LLC Social Worker CurrentSince Jul 21, 2024 Accepting new patients
Full Spectrum Therapy LLC PastSince Aug 1, 2022 Accepting new patients

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, 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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1740926120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 THAR DESERT DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817152",
            "telephone_number": "971-381-8125",
            "fax_number": "971-600-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 THAR DESERT DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817152",
            "telephone_number": "971-381-8125",
            "fax_number": "971-600-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2403 SE Monroe St Ste A",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972227646",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15420 SE Rainier Ct",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970159410",
            "country_code": "US",
            "telephone_number": "971-381-8125",
            "fax_number": "971-600-9027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 SW Beaverton Hillsdale Hwy",
            "address_2": "Building 3, Suite 560",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "97005",
            "country_code": "US",
            "telephone_number": "503-628-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANABAT",
        "first_name": "LEVIN",
        "middle_name": "E",
        "credential": "MSW, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0731",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11854",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaparral, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.