Individual provider · Type 1 NPI

Tracy Charisse Wharton, PhD, MSC, MED, LCSW

Clinical Social Worker · Rockville, MD

NPI number 1780103440 Active

Practice location

12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725

Mailing address

12345 Parklawn Dr, Ste 200, #1061
Rockville, MD 20852-1725

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X32755 (MD)
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700X3641C (AL)
Clinical Social Worker 1041C0700X1140807 (MA)
Clinical Social Worker 1041C0700XSW12849 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1780103440

Tracy Charisse Wharton, PhD, MSC, MED, LCSW's National Provider Identifier is 1780103440, issued on Sep 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockville, MD. The record was last updated on Apr 14, 2026.