Individual provider Active NPI

Maribel De la O, LCSW-S

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1104417773
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103884 Issued in TX
Practice address
14341 Desierto Lindo Ave
El Paso, TX 79928-7712
Phone
(915) 549-4611
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 103884 TX Primary

Addresses

Primary practice location

14341 Desierto Lindo Ave
El Paso, TX 79928-7712

Mailing address

14341 Desierto Lindo Ave
El Paso, TX 79928-7712
Phone (915) 549-4611

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Direct

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
103884TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1104417773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 DESIERTO LINDO AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799287712",
            "telephone_number": "915-549-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14341 DESIERTO LINDO AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799287712",
            "telephone_number": "915-549-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA O",
        "first_name": "MARIBEL",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14341 Desierto Lindo Ave",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799287712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.