# AMY M HULTGREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578504643
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3019 | ND | — |
| 171M00000X | Case Manager/Care Coordinator | — | ND | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 021497 | BCBS PIN | ND |
| 05 | — | 054518 | — | ND |
| 01 | — | N21497 | RR MEDICARE PIN | ND |