Active NPIIndividual providerSole proprietor

Myra L Samedy, LCSW

Social Worker in East Rutherford, New Jersey

NPI Number1366090748
Practice location
1 Meadowlands Plz Ste 200, East Rutherford, NJ 07073-2152
Fax
—
Last updated
September 11, 2026

Myra Lisa Samedy is a Social Worker based in East Rutherford, NJ. Myra Lisa Samedy practices in East Rutherford, NJ and has the professional credentials of LCSW. The NPI Number for Myra Lisa Samedy is 1366090748 and holds a License No. 34617 (MD). The current practice location address for Myra Lisa Samedy is 1 Meadowlands Plz Ste 200, East Rutherford, NJ 07073-2152 and can be reached out via phone at 484-613-1303.

Provider Profile Details

NPI Number
1366090748
Provider Name
Myra Lisa Samedy
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1 Meadowlands Plz Ste 200, East Rutherford, NJ 07073-2152
Phone Number
484-613-1303
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2019
Last Update Date
September 11, 2026
Certification Date
September 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Meadowlands Plz Ste 200
East Rutherford, NJ 07073-2152
Zip
07073-2152
Phone Number
484-613-1303
East Rutherford, NJ 07073Get directions →

Provider Business Mailing Address Details

Address
2021 Parkview Dr
Roselle, NJ 07203-3057
City
Roselle
State
NJ
Zip
07203-3057
Phone Number
973-687-6668

License Information

License Number (1)
34617
License State (1)
MD
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SL06268400
License State (2)
NJ
Taxonomy (2)
Social Worker · 104100000X · Primary
License Number (3)
SLC200003286
License State (3)
DC
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License Number (4)
0904016676
License State (4)
VA
Taxonomy (4)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Myra L Samedy, LCSW?

The NPI number of Myra L Samedy, LCSW is 1366090748. It was assigned on August 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Myra L Samedy, LCSW?

Myra L Samedy, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MD under license number 34617.

Where does Myra L Samedy, LCSW practice?

The practice location is 1 Meadowlands Plz Ste 200, East Rutherford, NJ 07073-2152. The office can be reached at 484-613-1303 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366090748 directly on the NPPES registry website.

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