Individual provider Active NPI

Rachel La Rea Hatchett, LCSW

  • Clinical Social Worker
  • Cleveland, TN
National Provider Identifier
1740739648
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000007581 Issued in TN
Practice address
3505 Adkisson Dr NW Ste 205
Cleveland, TN 37312-6805
Phone
(423) 368-5893
Fax
(423) 370-1368
NPI assigned
Oct 3, 2016
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 0000007581 TN Primary

Addresses

Primary practice location

3505 Adkisson Dr NW Ste 205
Cleveland, TN 37312-6805

Mailing address

417 County Road 709
Riceville, TN 37370-5331
Phone (336) 406-1990

Other practice location 1

740 Tell St Ste 301
Athens, TN 37303-5169
Phone (423) 368-5893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210915002764 TN Practitioner - Clinical Social Worker 7911303003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Divergent Roads CounselingGroup PAC ID 1658779103, 2 clinicians

Practice addresses (Care Compare)

3575 Adkisson Dr NW
Suite 1030
Cleveland, TN 37312-3090
Phone (423) 368-5893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7581TNMDSocial Worker
0000007581TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Divergent Roads Counseling Clinical CurrentSince Sep 22, 2021 Accepting new patients

Locations

3505 Adkisson Dr NW
Ste 205
Cleveland, TN 37312
Phone (423) 368-5893

3575 Adkisson Dr NW
Ste 1030
Cleveland, TN 37312

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1740739648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 COUNTY ROAD 709",
            "city": "RICEVILLE",
            "state": "TN",
            "postal_code": "373705331",
            "telephone_number": "336-406-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ADKISSON DR NW STE 205",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126805",
            "telephone_number": "423-368-5893",
            "fax_number": "423-370-1368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Tell St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373035169",
            "country_code": "US",
            "telephone_number": "423-368-5893",
            "fax_number": "423-370-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "RACHEL",
        "middle_name": "LA REA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2023-07-03",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000007581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.