Provider Demographics
NPI:1144112012
Name:GERKY, KATON MICHAEL (SWLC)
Entity type:Individual
Prefix:
First Name:KATON
Middle Name:MICHAEL
Last Name:GERKY
Suffix:
Gender:M
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:MT
Mailing Address - Zip Code:59523-0025
Mailing Address - Country:US
Mailing Address - Phone:406-390-6134
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 25
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523-0025
Practice Address - Country:US
Practice Address - Phone:406-390-6134
Practice Address - Fax:406-390-6134
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-80102104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker