Individual provider Active NPI

Maighdlin Talo

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1053776310
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111251 Issued in TX
Practice address
3301 Woodbriar LN
Austin, TX 78723-4824
Phone
(269) 352-5299
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 111251 TX Primary

Addresses

Primary practice location

3301 Woodbriar LN
Austin, TX 78723-4824

Mailing address

3301 Woodbriar LN
Austin, TX 78723-4824
Phone (269) 352-5299

Other practice location 1

508 Deep Eddy Ave
Austin, TX 78703-4555
Phone (269) 352-5299

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
I20240826002850 TX Practitioner - Clinical Social Worker 5991117541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep Eddy Psychotherapy Management, LLCGroup PAC ID 2264886936, 70 clinicians

Practice addresses (Care Compare)

508 Deep Eddy Ave
Austin, TX 78703-4555
Phone (512) 956-6463

5900 Balcones Dr
Austin, TX 78731-4257
Phone (269) 352-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111251TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Aug 12, 2024 Accepting new patients
M Talo Wellness PLLC Clinical CurrentSince Jul 21, 2025 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

5900 Balcones Dr
#23508
Austin, TX 78731
Phone (269) 352-5299

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

Organizations & group practices 3

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1053776310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBRIAR LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234824",
            "telephone_number": "269-352-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBRIAR LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234824",
            "telephone_number": "269-352-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Deep Eddy Ave",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787034555",
            "country_code": "US",
            "telephone_number": "269-352-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALO",
        "first_name": "MAIGHDLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.