Individual provider Active NPI

Audra Renae Hatchett, LCSW

  • Clinical Social Worker
  • Russellville, AR
National Provider Identifier
1093804106
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2060-C Issued in AR
Practice address
210 N Shamrock Blvd
Russellville, AR 72802-9658
Phone
(501) 315-3344
NPI assigned
Oct 12, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 2060-C AR Primary

Addresses

Primary practice location

210 N Shamrock Blvd
Russellville, AR 72802-9658

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other names 1

  • Audra Prince Former name

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
I20080915000277 AR Practitioner - Clinical Social Worker 7517033681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birch Tree Communities IncGroup PAC ID 5597749747, 21 clinicians

Practice addresses (Care Compare)

210 N Shamrock
Russellville, AR 72802-9658
Phone (479) 968-2263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Pinnacle Pointe Hospital CurrentSince Oct 13, 2024 Accepting new patients
Birch Tree Communities, Inc CurrentSince Sep 26, 2025 Accepting new patients
Birch Tree Communities, Inc CurrentSince Sep 26, 2025 Accepting new patients
Dayspring Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health Services PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Behavioral Health Services PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients
Dayspring Services of Arkansas LLC PastSince Jan 1, 1990 Accepting new patients

Locations

1718 Hot Springs Hwy
Benton, AR 72019
Phone (501) 303-1634

522 Mill Rd
Clarksville, AR 72830
Phone (479) 705-1301

1001 S Arkansas Ave
Russellville, AR 72801
Phone (479) 567-5800

210 N Shamrock Blvd
Russellville, AR 72802
Phone (479) 747-7302

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1093804106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589",
            "telephone_number": "501-315-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N SHAMROCK BLVD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029658",
            "telephone_number": "501-315-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "AUDRA",
        "middle_name": "RENAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2060-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRA",
            "last_name": "PRINCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.