DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMY M HULTGREN LICSW

MEDICARE: AMY M HULTGREN LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3019ND
2171M00000XCase Manager/Care CoordinatorND

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3N21497OTHERNDRR MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2021497OTHERNDBCBS PIN

General Provider Information

NPI Number : 1578504643
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M HULTGREN LICSW
Provider Business Mailing Address
First Line : PO BOX 650
Second Line :
City : DEVILS LAKE
State : ND
Zip : 58301-0650
Country : US
Telephone Number : 701-665-2200
Fax Number : 701-665-2300
Provider Business Practice Location Address
First Line : 200 HIGHWAY 2 W
Second Line :
City : DEVILS LAKE
State : ND
Zip : 58301-3532
Country : US
Telephone Number : 701-665-2200
Fax Number : 701-665-2300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1508797655 — SAMANTHA MORRIS
Practice Location Address:
200 HIGHWAY 2 W
DEVILS LAKE, ND
58301-3532
Practice Phone: 701-665-2200
Practice Fax:
1770137952 — MOLLY HAGEMEISTER
Practice Location Address:
200 HIGHWAY 2 W
DEVILS LAKE, ND
58301-3532
Practice Phone: 701-665-2200
Practice Fax:
1669411930 — LAKE REGION BEHAVIORAL HEALTH CLINIC
Practice Location Address:
200 HIGHWAY 2 W
DEVILS LAKE, ND
58301-3532
Practice Phone: 701-665-2200
Practice Fax: 701-665-2300
1568403772 — JAMES R CLINKENBEARD MD
Practice Location Address:
200 HIGHWAY 2W
DEVILS LAKE, ND
58301-3532
Practice Phone: 701-665-2200
Practice Fax: 701-665-2300
1124069331 — LAKE REGION HUMAN SERVICE CENTER
Practice Location Address:
200 HIGHWAY 2 W
DEVILS LAKE, ND
58301-3532
Practice Phone: 701-665-2200
Practice Fax: 701-665-2300
1730120882 — DAVID P KUNA PH.D.
Practice Location Address:
200 HIGHWAY 2 W
DEVILS LAKE, ND
58301-3532
Practice Phone: 701-665-2200
Practice Fax: 701-665-2300

Directions to “ AMY M HULTGREN LICSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.