Individual provider Active NPI

Jessica Homer, LCSW

  • Clinical Social Worker
  • Fallon, NV
National Provider Identifier
1508510223
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9919-C Issued in NV
Practice address
20 N Ada St
Fallon, NV 89406-2906
Phone
(775) 391-6088
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IC-1423 NV
Clinical Social Worker 1041C0700X 9919-C NV Primary

Addresses

Primary practice location

20 N Ada St
Fallon, NV 89406-2906

Mailing address

PO Box 2104
Fallon, NV 89407-2104
Phone (775) 391-6088

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
9919-CNVMDClinical Social Worker
IC-1423NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apricity Counseling Services PLLC CurrentSince Jun 12, 2022 Accepting new patients
Churchill Council on Alcohol & Other Drugs PastSince Feb 1, 2022 Accepting new patients
Churchill Council on Alcohol & Other Drugs PastSince Feb 1, 2022 Accepting new patients

Locations

20 N Ada St
Fallon, NV 89406
Phone (775) 391-6088

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1508510223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2104",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894072104",
            "telephone_number": "775-391-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N ADA ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062906",
            "telephone_number": "775-391-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9919-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.