Healthcare Provider Details

I. General information

NPI: 1962146381
Provider Name (Legal Business Name): KATE ALEXANDRA SEAHOLM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE LINDERMAN

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date: 11/30/2022
Reactivation Date: 01/22/2025

III. Provider practice location address

205 E PARK AVE
ANACONDA MT
59711-2340
US

IV. Provider business mailing address

205 E PARK AVE
ANACONDA MT
59711-2340
US

V. Phone/Fax

Practice location:
  • Phone: 406-563-8117
  • Fax:
Mailing address:
  • Phone: 406-563-8117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-LCSW-LIC-55535
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: