Provider Demographics
NPI:1376735001
Name:HESTWOOD, KATE (LCSW)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:HESTWOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:HESTWOOD REEVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2621 W COLLEGE ST STE F
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3982
Mailing Address - Country:US
Mailing Address - Phone:406-415-4022
Mailing Address - Fax:
Practice Address - Street 1:2621 W COLLEGE ST STE F
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3982
Practice Address - Country:US
Practice Address - Phone:307-760-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT8403OtherLCSW