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MS. MELANIE R WHARTON LCSW
NPI 1992984538
Social Worker - Clinical in Knoxville, TN

Active since October 31, 2007PECOS Enrolled
301 S GALLAHER VIEW RD STE 224, KNOXVILLE, TN 37919(865) 227-7489(865) 690-0995 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Jun 8, 2023 (2 updates tracked since 2023).

About Ms. Melanie R Wharton Lcsw NPPES

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

MS. MELANIE R WHARTON LCSW (NPI 1992984538) is an individual clinical provider in Knoxville, Tennessee, licensed in Tennessee (LSW0000004968) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992984538
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MELANIE R WHARTONCredential: LCSW
Location Address301 S GALLAHER VIEW RD STE 224Knoxville, TN 37919-5361
Mailing AddressPo Box 53302Knoxville, TN 37950-3302 · (865) 352-9444 · Fax (865) 690-0995
Phone(865) 227-7489
Fax(865) 690-0995
Sole ProprietorYes
Enumeration DateOctober 31, 2007
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1992984538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · LSW0000004968
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 6738 (TN)
301 S GALLAHER VIEW RD STE 224, Knoxville, TN 37919
Open in Google Maps ↗

Other Identifiers 2

Other4312388TN · Bcbs
Other12337629TN · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Melanie R Wharton Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
1,421 services91 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

THEODORE W MCCRARY PAC
Physician Assistant
301 S GALLAHER VIEW RD STE 224
KNOXVILLE, TN 37919
Knox County (865) 951-2012
URGENT CARE & SURGERY CENTER - KNOXVILLE LLC
Contractor
301 S GALLAHER VIEW RD STE 224
KNOXVILLE, TN 37919
Knox County (865) 951-2012
CAMILLE HEATHERLY WILLIAMSON LCSW, LLC
Social Worker (Clinical)
301 S GALLAHER VIEW RD STE 224
KNOXVILLE, TN 37919
Knox County (865) 898-1574

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 Melanie Wharton's NPI number?

The NPI number for Melanie Wharton is 1992984538. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Melanie Wharton located?

Melanie Wharton practices at 301 S Gallaher View Rd Ste 224, Knoxville, TN 37919. The listed phone number is (865) 227-7489.

What is Melanie Wharton's specialty?

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

Is Melanie Wharton enrolled in Medicare?

Yes. Melanie Wharton is registered in the Medicare PECOS enrollment system.

What insurance does Melanie Wharton accept?

Health plans from BlueCross BlueShield of Tennessee and Providence Health Plan list Melanie Wharton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melanie Wharton was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.