NPI 1104846575

Randy a Hultberg, LCSW

Practitioner Clinical Social Worker Greenville, KY

Practice location

Address: 506 Hopkinsville St, Greenville, KY 42345-1104
Phone: (270) 338-5211
Fax: (270) 338-1624
Mailing address: PO Box 614, Hopkinsville, KY 42241-0614

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 804 (KY)

Other Social Worker providers in Kentucky →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LSW0000000611 (TN)

Registry record

NPI: 1104846575
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 6 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.