JOHNSON CITY MEDICAL CENTER, REGIONAL CANCER CENTER
NPI 1649578386
Social Worker - Clinical in Johnson City, TN

Active since March 04, 2011
1 PROFESSIONAL PARK DR, SUITE 21 ROOM C-17, JOHNSON CITY, TN 37604(423) 232-6900(423) 232-6903 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnson City Medical Center, Regional Cancer Center NPPES

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

JOHNSON CITY MEDICAL CENTER, REGIONAL CANCER CENTER (NPI 1649578386) is a healthcare organization registered as a clinical in Johnson City, Tennessee and active in the NPI registry since March 2011. The organization lists Graciela Pereira, Avp, as its authorized official.

NPPES Registry Identity

NPI1649578386
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address1 PROFESSIONAL PARK DR, SUITE 21 ROOM C-17Johnson City, TN 37604-6587
Mailing Address1 Professional Park Dr, Suite 21 Room C-17Johnson City, TN 37604-6587 · (423) 232-6900 · Fax (423) 232-6903
Fax(423) 232-6903
Organization SubpartNo
Authorized OfficialGraciela PereiraAvp · (423) 431-7060
Enumeration DateMarch 4, 2011
NPI 1649578386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1 PROFESSIONAL PARK DR, Johnson City, TN 37604

Other Names 1

Doing Business AsJohnson City Medical Center, Regional Cancer Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Internal Medicine (Medical Oncology)
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
1 PROFESSIONAL PARK DR
JOHNSON CITY, TN 37604
Family Medicine
1 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Nurse Practitioner
1 PROFESSIONAL PARK DR, SUITE 18
JOHNSON CITY, TN 37604

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 Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1649578386. It was assigned to this organization in the NPPES registry on March 4, 2011. The provider is doing business as Johnson City Medical Center, Regional Cancer Center.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 1 Professional Park Dr Suite 21 Room C-17, Johnson City, TN 37604. The listed phone number is (423) 232-6900.

What is Mountain States Health Alliance's specialty?

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

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.