Active NPI
Bobbi Jalia Dyer, MSW, LCSW
- Clinical Social Worker
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C018138
- Practice address
- 11 Union St S Ste 200
Concord, NC 28025-5098 - Phone
- (704) 918-9741
- Fax
- (704) 270-6213
- NPI assigned
- Aug 18, 2017
- Last updated
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00944751 | WV | |
| Clinical Social Worker | 1041C0700X | C018138 | NC | Primary |
Addresses
Primary practice location
11 Union St S Ste 200
Concord, NC 28025-5098
Mailing address
11 Union St S Ste 200
Concord, NC 28025-5098
Phone (304) 550-9915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Phone (888) 705-8722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00944751 | WV | MD | Social Worker |
| C018138 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Family Counseling | Clinical | Current | Accepting new patients |
| Heart of a Lion Therapy & Wellness, PLLC | Clinical | Current | Accepting new patients |
| Rhodium Care Group PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
11 Union St S
Ste 200
Concord, NC 28025
Phone (704) 918-9315
11 Union St S
Ste 206
Concord, NC 28025
Phone (704) 918-9741
1300 Don Juan Rd
Hertford, NC 27944
Phone (252) 426-4066
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Concord, NC
- NPI 1063000610
-
- Clinical Social Worker
- Mount Holly, NC
- NPI 1073303806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1134645336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 UNION ST S STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255098",
"telephone_number": "304-550-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 UNION ST S STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255098",
"telephone_number": "704-918-9741",
"fax_number": "704-270-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "BOBBI",
"middle_name": "JALIA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00944751",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C018138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.