Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Randy A Hultberg, LCSW

Individual provider Clinical Social Worker · NPI 1104846575

Mr. Randy A Hultberg, LCSW is a Clinical Social Worker in Greenville, Kentucky. Qualified in 1980, 46 years ago. Practices with Lifeskills, Inc, a 46-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Tennessee.

Years since qualifying
46
Licensed in
KY, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

506 Hopkinsville St
Greenville, KY 42345-1104
Phone: (270) 338-5211
Fax: (270) 338-1624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 804 (KY)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSW0000000611 (TN)

Record details

NPI number1104846575
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Lifeskills, Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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