Provider Demographics
NPI:1083489223
Name:BUTLER-MONTEAU, NATASHA DANYELLE (LCSW-C, LICSW, DSW)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:DANYELLE
Last Name:BUTLER-MONTEAU
Suffix:
Gender:F
Credentials:LCSW-C, LICSW, DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4451 PARLIAMENT PL STE R
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1872
Mailing Address - Country:US
Mailing Address - Phone:301-429-7300
Mailing Address - Fax:301-459-2409
Practice Address - Street 1:9905 ROSA VISTA CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2886
Practice Address - Country:US
Practice Address - Phone:240-418-1241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD167301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical