OrganizationActive
Mountain States Health Alliance
NPI 1649578386 · Clinical Social Worker · Johnson City, TN
Provider details
- NPI number
- 1649578386
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Graciela Pereira, Avp(423) 431-7060
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Professional Park Dr
Suite 21 Room C-17
Johnson City, TN 37604-6587
Phone: (423) 232-6900
Fax: (423) 232-6903
Approximate (ZIP-level) locationGet directions
Mailing address
1 Professional Park Dr
Johnson City, TN 37604-6587
Other names (DBA / former)
- Doing business as
- Johnson City Medical Center, Regional Cancer Center
Registry dates
- Enumerated
- 2011-03-04
- Last updated
- 2011-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.