MR. DAVID CHARLES HOMER (LCSW) – Social Worker, NPI 1649336488

MR. DAVID CHARLES HOMER (LCSW) is a healthcare provider. based in Idaho falls, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LCSW-36532 (ID). The NPI Number for MR. DAVID CHARLES HOMER (LCSW) is 1649336488

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID CHARLES HOMER (LCSW)
NPI
1649336488
Phone
(208) 529-2920
Address
586 1ST ST
Enumeration Date
28 December 2006
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085235319
Graduation Year
2013 (13 years ago)
PAC ID
6709159650
Group Practice PAC ID
4688027188
Professional Enrollment ID
I20170829002042
Address ID
ID834064718AM1675XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

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Provider Addresses for MR. DAVID CHARLES HOMER (LCSW)

  • HomeSmart, 586, 1st Street, Downtown, Idaho Falls, Bonneville County, Idaho, 83401, United States

    IDAHO FALLS, ID 834013963

    Phone: (208) 529-2920

    Type: Location

  • 1st Street, Idaho Falls, Bonneville County, Idaho, 83405, United States

    APT 4

    IDAHO FALLS, ID 834014504

    Phone: (208) 524-4615

    Type: Mailing

  • PO BOX 2106

    IDAHO FALLS, ID 834032106

    Phone: (208) 523-5319

    Fax: (208) 523-5627

    Type: Mailing

  • 1675 CURLEW DR

    AMMON, ID 834064718

    Phone: (208) 523-5319

    Fax: (208) 523-5627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170829002042IClinical Social WorkerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688027188View full group profile
NameSpecialtyState
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Mental Health CounselorID
Clinical Social WorkerID
Nurse PractitionerID
Clinical Social WorkerID
Nurse PractitionerID
Clinical Social WorkerID

Reviews

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Frequently asked questions

What is MR. DAVID CHARLES HOMER (LCSW)'s NPI number?
MR. DAVID CHARLES HOMER (LCSW)'s NPI is 1649336488 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. DAVID CHARLES HOMER (LCSW)?
For scheduling context, MR. DAVID CHARLES HOMER (LCSW) is shown as active in the registry.
What expertise is attributed to MR. DAVID CHARLES HOMER (LCSW)?
MR. DAVID CHARLES HOMER (LCSW)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. DAVID CHARLES HOMER (LCSW) associated with Idaho Falls?
Public fields place MR. DAVID CHARLES HOMER (LCSW) around Idaho Falls, Idaho. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. DAVID CHARLES HOMER (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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