Provider Demographics
NPI:1285197442
Name:BUDDE, CAITLIN CHRISTINE
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:CHRISTINE
Last Name:BUDDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAIT
Other - Middle Name:CHRISTINE
Other - Last Name:BUDDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:561 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4385
Mailing Address - Country:US
Mailing Address - Phone:406-202-3288
Mailing Address - Fax:
Practice Address - Street 1:500 S LAMBORN ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5417
Practice Address - Country:US
Practice Address - Phone:406-457-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-12
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-375491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical