Individual provider Active NPI

Maya Conlon, LCSW

  • Social Worker
  • Austin, TX
National Provider Identifier
1932644507
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
61647 Issued in TX
Practice address
2501 W. William Cannon Dr.
BLDG 6 Ste. a
Austin, TX 78745
Phone
(512) 344-9181
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 61647 TX Primary

Addresses

Primary practice location

2501 W. William Cannon Dr.
BLDG 6 Ste. a
Austin, TX 78745

Mailing address

9309 Linkmeadow Dr
Austin, TX 78748-5081
Phone (512) 796-4352

Other practice location 1

1625 Rutherford Ln
Austin, TX 78754-5173
Phone (512) 651-6150

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
I20201013003386 TX Practitioner - Clinical Social Worker 1557781598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8700 Menchaca Rd
Suite 502
Austin, TX 78748-5376
Phone (512) 361-2280

9309 Linkmeadow Dr
Austin, TX 78748-5081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61647TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Conlon LCSW-S PLLC CurrentSince Dec 1, 2021 Accepting new patients
Vonzee Interests LLC CurrentSince Aug 7, 2020 Accepting new patients
Michelle Zee Enterprises LLC PastSince Aug 7, 2020 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 6A
Austin, TX 78745
Phone (512) 344-9181

8700 Menchaca Rd
Ste 502
Austin, TX 78748
Phone (512) 236-0400

5900 Balcones Dr
Ste 100
Austin, TX 78731

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1932644507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 LINKMEADOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485081",
            "telephone_number": "512-796-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W. WILLIAM CANNON DR.",
            "address_2": "BLDG 6 STE. A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-344-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Rutherford Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787545173",
            "country_code": "US",
            "telephone_number": "512-651-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLON",
        "first_name": "MAYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "61647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.