Individual provider Active NPI

Melanie L Cook-Dobbins, LCSW

  • Clinical Social Worker
  • Pine Bluff, AR
National Provider Identifier
1710016662
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3773-C Issued in AR
Practice address
3104 S Catalpa St Ste 5
Pine Bluff, AR 71603-4869
Phone
(501) 733-5413
NPI assigned
Mar 5, 2007
Last updated
Dec 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3773-C AR Primary

Addresses

Primary practice location

3104 S Catalpa St Ste 5
Pine Bluff, AR 71603-4869

Mailing address

PO Box 10689
Conway, AR 72034-0011
Phone (501) 733-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000383 AR Practitioner - Clinical Social Worker 1850602673 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, shared by 2 NPIs, 77 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3773-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Psych Care of Arkansas PA Clinical CurrentSince Dec 1, 2024 Accepting new patients
Conway Counseling & Psychological Services, PLLC CurrentSince Oct 1, 2017 Accepting new patients
Arkansas Psychiatric Clinic Clinical Research Trials, PA CurrentSince Apr 29, 2019 Accepting new patients
Families, Inc of Arkansas CurrentSince May 5, 2015 Accepting new patients
Collaborative Counseling Associates, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Thrive Counseling LLC PastSince Jun 7, 2021 Accepting new patients
Lead, Teach, Mentor LLC Past Accepting new patients

Locations

950 Homestead Dr
Ashdown, AR 71822
Phone (870) 898-5001

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

322 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3562

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1710016662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10689",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340011",
            "telephone_number": "501-733-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 S CATALPA ST STE 5",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034869",
            "telephone_number": "501-733-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-DOBBINS",
        "first_name": "MELANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3773-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.