Active NPIIndividual providerSole proprietor

Samantha E Maytidu

Social Worker, Clinical in Kinnelon, New Jersey

NPI Number1619521044
Practice location
118 Boonton Ave, Kinnelon, NJ 07405-2964
Fax
—
Last updated
July 24, 2019

Samantha Elizabeth Maytidu is a Social Worker, Clinical based in Kinnelon, NJ. Samantha Elizabeth Maytidu practices in Kinnelon, NJ. The NPI Number for Samantha Elizabeth Maytidu is 1619521044 and holds a License No. 44SC05855800 (NJ). The current practice location address for Samantha Elizabeth Maytidu is 118 Boonton Ave, Kinnelon, NJ 07405-2964 and can be reached out via phone at 973-838-1881.

Provider Profile Details

NPI Number
1619521044
Provider Name
Samantha Elizabeth Maytidu
Provider Entity Type
Individual
Gender
Female
Address
118 Boonton Ave, Kinnelon, NJ 07405-2964
Phone Number
973-838-1881
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2019
Last Update Date
July 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Boonton Ave
Kinnelon, NJ 07405-2964
Zip
07405-2964
Phone Number
973-838-1881
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
118 Boonton Ave
Kinnelon, NJ 07405-2964
City
Kinnelon
State
NJ
Zip
07405-2964
Phone Number
973-838-1881

License Information

License Number
44SC05855800
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Samantha E Maytidu?

The NPI number of Samantha E Maytidu is 1619521044. It was assigned on July 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Samantha E Maytidu?

Samantha E Maytidu is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05855800.

Where does Samantha E Maytidu practice?

The practice location is 118 Boonton Ave, Kinnelon, NJ 07405-2964. The office can be reached at 973-838-1881 (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 1619521044 directly on the NPPES registry website.

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