Individual provider Active NPI

Makahala Hepburn, LCSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1750877312
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15501 Issued in FL
Practice address
1903 S Congress Ave Ste 340
Boynton Beach, FL 33426-6562
Phone
(954) 297-8961
NPI assigned
Jul 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 15501 FL Primary

Addresses

Primary practice location

1903 S Congress Ave Ste 340
Boynton Beach, FL 33426-6562

Mailing address

1165 NW 45TH Ter
Lauderhill, FL 33313-6625
Phone (954) 297-8961

Other practice location 1

1165 NW 45th Ter Fl 33313
Lauderhill, FL 33313-6625
Phone (954) 297-8961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181119001989 FL Practitioner - Clinical Social Worker 0941554463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1903 S Congress Ave
Suite 340
Boynton Beach, FL 33426-6562
Phone (561) 777-8345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15501FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MH Cares, LLC Clinical CurrentSince Aug 26, 2021 Accepting new patients
Lori Sarvis , LCSW PA CurrentSince Aug 1, 2019 Accepting new patients

Locations

1903 S Congress Ave
Ste 340
Boynton Beach, FL 33426
Phone (561) 733-1674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1750877312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NW 45TH TER",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333136625",
            "telephone_number": "954-297-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE STE 340",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266562",
            "telephone_number": "954-297-8961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 NW 45th Ter Fl 33313",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333136625",
            "country_code": "US",
            "telephone_number": "954-297-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPBURN",
        "first_name": "MAKAHALA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.