Individual
MS. MELANIE R WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 S GALLAHER VIEW RD STE 224, KNOXVILLE, TN 37919-5361
(865) 227-7489
(865) 690-0995
Mailing address
PO BOX 53302, KNOXVILLE, TN 37950-3302
(865) 352-9444
(865) 690-0995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004968
TN
171M00000X
Case Manager/Care Coordinator
6738
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12337629
CAQH
TN
01
—
4312388
BCBS
TN
Enumeration date
10/31/2007
Last updated
10/17/2023
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