Provider Demographics
NPI:1508512450
Name:BERRY, KATE (LCSW)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:BERRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:BERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:307 SPOKANE AVE STE 203C
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-2611
Mailing Address - Country:US
Mailing Address - Phone:406-290-9027
Mailing Address - Fax:406-519-5822
Practice Address - Street 1:307 SPOKANE AVE STE 203C
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2611
Practice Address - Country:US
Practice Address - Phone:406-290-9027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCSW-LIC-798061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical