Organization Active NPI

Lumina Clinical & Consulting, PLLC

  • Clinical Social Worker
  • Deep Water, WV
National Provider Identifier
1023912250
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LUMINA CLINICAL & CONSULTING, PLLC
Practice address
1051 Boonesborough Rd
Deep Water, WV 25057
Phone
(704) 351-7932
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Bobbi Dyer
Title
Managing Member
Phone
(704) 351-7932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1051 Boonesborough Rd
Deep Water, WV 25057

Mailing address

PO Box 83
Deep Water, WV 25057-0083
Phone (704) 351-7932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1023912250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "DEEP WATER",
            "state": "WV",
            "postal_code": "250570083",
            "telephone_number": "704-351-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BOONESBOROUGH RD",
            "city": "DEEP WATER",
            "state": "WV",
            "postal_code": "25057",
            "telephone_number": "704-351-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA CLINICAL & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-351-7932"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deep Water, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.