Provider Demographics
NPI:1710520861
Name:BUTIN, SYDNIE (LCSW-C)
Entity type:Individual
Prefix:
First Name:SYDNIE
Middle Name:
Last Name:BUTIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 ELLINGTON BLVD
Mailing Address - Street 2:# 335
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4567
Mailing Address - Country:US
Mailing Address - Phone:301-750-3520
Mailing Address - Fax:
Practice Address - Street 1:129 ELLINGTON BLVD
Practice Address - Street 2:# 335
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4567
Practice Address - Country:US
Practice Address - Phone:301-750-3520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-22
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25528104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker