MR. RANDY A HULTBERG LCSW
NPI 1104846575
Social Worker - Clinical in Greenville, KY

Q: What is Randy Hultberg's NPI number?

The NPI number for Randy Hultberg is 1104846575. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Randy Hultberg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Randy Hultberg was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

506 HOPKINSVILLE ST, GREENVILLE, KY 42345(270) 338-5211(270) 338-1624 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2019, Mar 26, 2018 (2 updates tracked since 2018).

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About Mr. Randy A Hultberg Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDY A HULTBERG LCSW (NPI 1104846575) is an individual clinical provider in Greenville, Kentucky, licensed in Kentucky (804) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hopkinsville, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1104846575

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. RANDY A HULTBERGCredential: LCSW

Location Address506 HOPKINSVILLE STGreenville, KY 42345-1104

Mailing AddressPo Box 614Hopkinsville, KY 42241-0614 · (270) 886-2205 · Fax (270) 886-0392

Phone(270) 338-5211

Fax(270) 338-1624

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateJuly 20, 2006

Last NPPES UpdateMay 6, 20192 updates tracked since enumeration

✔ NPI 1104846575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in KY · 804✔ Licensed in TN · LSW0000000611

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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

506 HOPKINSVILLE ST, Greenville, KY 42345

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Secondary Practice Location 1

Location 1735 North DrHopkinsville, KY 42240-2620 · Phone (270) 886-5163 · Fax (270) 886-5178

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Randy A Hultberg Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476618323

PECOS Enrollment IDI20101123000787

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

153 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ASHLEY MCDOWELL

Counselor