Individual provider · Type 1 NPI

Randy A. Hultberg, LCSW

Clinical Social Worker · Greenville, KY

NPI number 1104846575 Active

Practice location

506 Hopkinsville St
Greenville, KY 42345-1104

Call (270) 338-5211 Map

Fax (270) 338-1624

Mailing address

PO Box 614
Hopkinsville, KY 42241-0614

Other practice locations

  • 735 North Dr, Hopkinsville, KY 42240-2620 · (270) 886-5163

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLSW0000000611 (TN)
Clinical Social Worker Primary 1041C0700X804 (KY)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104846575

Randy A. Hultberg, LCSW's National Provider Identifier is 1104846575, issued on Jul 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, KY. The record was last updated on May 6, 2019.