MEDICARE: MS. MELANIE PATRICE COOP LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	37527	TX
2	104100000X	Social Worker	37527	TX

General Provider Information

NPI Number	:	1144300971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE PATRICE COOP LCSW

Provider Business Mailing Address
First Line	:	CARL R. DARNALL ARMY MEDICAL CENTER
Second Line	:	36000 DARNALL LOOP
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	761 TANK BATTALION BLDG 2245
Second Line	:
City	:	FORT CAVAZOS
State	:	TX
Zip	:	76544-4906
Country	:	US
Telephone Number	:	254-285-6192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/17/2025

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