Individual provider Active NPI

Wesley Toland Hatcher, LCSW

  • Social Worker
  • West Memphis, AR
National Provider Identifier
1235548124
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
304 N 6TH St
West Memphis, AR 72301-3221
Phone
(870) 702-7657
Fax
(870) 702-7650
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

304 N 6TH St
West Memphis, AR 72301-3221

Mailing address

703 Calvin Avery Dr
Suite a
West Memphis, AR 72301-6501
Phone (870) 732-1878

Other practice location 1

320 Lee Ave
Earle, AR 72331-2159
Phone (870) 792-7769

Other identifiers 1

IdentifierTypeStateIssuer
203122795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6582TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strategies of Arkansas Past Accepting new patients
Clover Counseling Services Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235548124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CALVIN AVERY DR",
            "address_2": "SUITE A",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723016501",
            "telephone_number": "870-732-1878",
            "fax_number": "870-735-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N 6TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013221",
            "telephone_number": "870-702-7657",
            "fax_number": "870-702-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Earle",
            "state": "AR",
            "postal_code": "723312159",
            "country_code": "US",
            "telephone_number": "870-792-7769",
            "fax_number": "870-792-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "WESLEY",
        "middle_name": "TOLAND",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203122795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.