Provider Demographics
NPI:1851842090
Name:FRITZ, KATY (LCSW)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:FRITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:788 ROSA WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9335
Mailing Address - Country:US
Mailing Address - Phone:406-206-0510
Mailing Address - Fax:406-206-0510
Practice Address - Street 1:11 W MAIN ST STE B3
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3738
Practice Address - Country:US
Practice Address - Phone:406-206-0510
Practice Address - Fax:406-206-0510
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical