Healthcare Provider Details

I. General information

NPI: 1508649112
Provider Name (Legal Business Name): SYDNIE BURT MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 R ST STE 305
LINCOLN NE
68501-0010
US

IV. Provider business mailing address

7041 GARLAND ST
LINCOLN NE
68505-1445
US

V. Phone/Fax

Practice location:
  • Phone: 402-940-8313
  • Fax: 402-695-9092
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4388
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7855
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13395
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: