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THOMAS MICHAEL SMITH LCSW
NPI 1306051065
Social Worker - Clinical in Mountain Home Afb, ID

Active since May 14, 2007PECOS Enrolled
90 HOPE DR BLDG 1900, MOUNTAIN HOME AFB, ID 83648(208) 828-7580 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Michael Smith Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS MICHAEL SMITH LCSW (NPI 1306051065) is an individual clinical provider in Mountain Home Afb, Idaho, licensed in Pennsylvania (CW016654) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306051065
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHOMAS MICHAEL SMITHCredential: LCSW
Location Address90 HOPE DR BLDG 1900Mountain Home Afb, ID 83648
Mailing Address106 Offutt RdHanscom Afb, MA 01731-2634 · (570) 977-2067
Phone(208) 828-7580
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJune 27, 2018
✔ NPI 1306051065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW016654
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License SW125549 (PA)
90 HOPE DR BLDG 1900, Mountain Home Afb, ID 83648
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Michael Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Smith's NPI number?

The NPI number for Thomas Smith is 1306051065. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Thomas Smith located?

Thomas Smith practices at 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7580.

What is Thomas Smith's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Thomas Smith enrolled in Medicare?

Yes. Thomas Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Smith was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.