Melanie Margaret Cooke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7535-C Issued in AR

Practice address

3101 W. 2ND CT
Russellville, AR 72801

Phone

(479) 567-5654

Fax

(479) 567-5661

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• River Valley Psychology PLLC

  • Psychologist
  • Russellville, AR
  • NPI 1235424326
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1720488026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10323",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72812",
            "telephone_number": "479-567-5654",
            "fax_number": "479-567-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W. 2ND CT",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-567-5654",
            "fax_number": "479-567-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "MELANIE",
        "middle_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7535-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227119719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway County Community Service Inc.
• Conway Regional Medical Center, Inc
• Matthew Cook, PTA
• Pamela L Cook
• Riley Virginia Cook, PT, DPT
• Cari D. Cooper, PHARM. D.
• Michael W. Cooper, D.D.S.
• Anna Belle Copeland, COTA/L
• Janet K. Corbett, D.O.
• Chantell Corkern, APRN

• Clinical Social Worker in Russellville, AR
• Providers in Russellville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.