Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Tennessee State University

Organization Clinical Social Worker · NPI 1124593132

East Tennessee State University is a Clinical Social Worker in Johnson City, Tennessee. Works from 6 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
9
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Practice location Address checks out

2151 Century Ln
Johnson City, TN 37604-4469
Phone: (423) 926-2500
Fax: (423) 926-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 202 W Fairview Ave, Johnson City, TN 37604-5611 — (423) 439-7371
  • 365 Stout Drive, Johnson City, TN 37614 — (423) 439-4225
  • 1901 S Shady St, Mountain City, TN 37683-2021 — (423) 727-1150
  • 2700 Main St, Sneedville, TN 37869-3041 — (423) 733-2819
  • 391 Court Sq, Sneedville, TN 37869 — (423) 733-2121

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Clinical Social Worker Taxonomy 1041C0700X
Dentist Taxonomy 122300000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Women's Health Nurse Practitioner Taxonomy 363LW0102X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1124593132
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Tennessee State University
Authorized official Betty King — Chief Financial Officer · (423) 439-4414
Other names College Of Nursing Clinics
NPI enumeratedOctober 5, 2018
Last updated in NPPESOctober 15, 2018
Mailing address365 Stout Drive, Box 70403, Johnson City, TN 37614

Other providers in Johnson City