Individual provider Active NPI

Deena Christine Lumia, BSW, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1174955850
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36289 Issued in ID
Practice address
2313 W Bella St
Boise, ID 83702-0423
Phone
(208) 629-7733
Fax
(208) 343-8475
NPI assigned
Aug 5, 2013
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 36289 ID Primary

Addresses

Primary practice location

2313 W Bella St
Boise, ID 83702-0423

Mailing address

2313 W Bella St
Boise, ID 83702-0423
Phone (208) 629-7733

Other identifiers 1

IdentifierTypeStateIssuer
8082880MedicaidID

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
36289IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirato Wellness, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1174955850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W BELLA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020423",
            "telephone_number": "208-629-7733",
            "fax_number": "208-343-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 W BELLA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020423",
            "telephone_number": "208-629-7733",
            "fax_number": "208-343-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMIA",
        "first_name": "DEENA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "BSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "36289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8082880",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.