Active NPI
October Evans Makabin, LCSW(A)-1041C0700X
- Clinical Social Worker
- Hickory, NC
National Provider Identifier
1578043477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012751
- Practice address
- 327 1St Ave NW
Hickory, NC 28601-6122 - Phone
- (828) 695-5900
- Fax
- (828) 695-4256
- NPI assigned
- Aug 20, 2018
- Last updated
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P012751 | NC | Primary |
Addresses
Primary practice location
327 1St Ave NW
Hickory, NC 28601-6122
Mailing address
4121 Castleton Rd Apt a
Charlotte, NC 28211-2532
Phone (980) 365-0770
Other practice location 1
1077 13th St SE
Hickory, NC 28602-4165
Phone (704) 864-6573
Other names 1
- Mrs. October Evans Makabin
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
| License | State | Type | Specialty |
|---|---|---|---|
| P012751 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Family Services of NC LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Hickory, NC
- NPI 1699221606
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1578043477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 CASTLETON RD APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112532",
"telephone_number": "980-365-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 1ST AVE NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016122",
"telephone_number": "828-695-5900",
"fax_number": "828-695-4256"
}
],
"practiceLocations": [
{
"address_1": "1077 13th St SE",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286024165",
"country_code": "US",
"telephone_number": "704-864-6573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKABIN",
"first_name": "OCTOBER",
"middle_name": "EVANS",
"name_prefix": "Mrs.",
"credential": "LCSW(A)-1041C0700X",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OCTOBER",
"last_name": "MAKABIN",
"middle_name": "EVANS",
"prefix": "MRS.",
"credential": "LCSW(A)-1041C0700X",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.