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 |
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Address | Po Box 614, Hopkinsville, Kentucky |
Phone Number | 2708862205 |
Fax Number | 2708860392 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1104846575 |
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Provider Enumeration Date | 2006-07-20 |
Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
Address | Po Box 614 |
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City | Hopkinsville |
State | Kentucky (KY) |
Post Code | 422410614 |
Phone Number | 2708862205 |
Fax Number | 2708860392 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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.