Active NPI
Audra Renae Hatchett, LCSW
- Clinical Social Worker
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2060-C
- Practice address
- 210 N Shamrock Blvd
Russellville, AR 72802-9658 - Phone
- (501) 315-3344
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.