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

Victoria Paige Mingo

Individual provider Clinical Social Worker · NPI 1740934249

Victoria Paige Mingo is a Clinical Social Worker in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with East Tennessee State University, a 20-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2022
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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 (2)

  • 202 W Fairview Ave, Johnson City, TN 37604-5611 — (423) 439-7371
  • 807 University Pkwy, Johnson City, TN 37614-6504 — (423) 439-4225

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7585 (TN)

Record details

NPI number1740934249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESOctober 27, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice East Tennessee State University — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City