Randy A Hultberg in Hopkinsville - Clinical

Randy A Hultberg - NPI 1104846575

Randy A Hultberg is a Clinical in Hopkinsville, Kentucky. Randy A Hultberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randy A Hultberg is 1104846575. The last update date is 2019-05-06.

Randy A Hultberg's current location address is Po Box 614, Hopkinsville, Kentucky. You can contact this provider via phone number 2708862205 and fax number 2708860392. The mailing address for Randy A Hultberg is Po Box 614, Hopkinsville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy A Hultberg
Address Po Box 614, Hopkinsville, Kentucky
Phone Number 2708862205
Fax Number 2708860392
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1104846575
Provider Enumeration Date 2006-07-20
Last Updated Date 2019-05-06

Provider Mailing Address Detail

Address Po Box 614
City Hopkinsville
State Kentucky (KY)
Post Code 422410614
Phone Number 2708862205
Fax Number 2708860392

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LSW000000061
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Randy A Hultberg

What is the unique provider identifier assigned to Randy A Hultberg?

The Randy A Hultberg has been issued the NPI (National Provider Identifier) 1104846575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Randy A Hultberg is geographically located?

The Randy A Hultberg is physically situated at the following location: Po Box 614, Hopkinsville, KY, 422410614.

What is Randy A Hultberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randy A Hultberg is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104846575 to Randy A Hultberg?

The Randy A Hultberg received its 1104846575 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.

When was the information related to Randy A Hultberg most recently updated or refreshed?

The details pertaining to the Randy A Hultberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-05-06.

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