Myra Lisa Samedy, LCSW
Social Worker in East Rutherford, NJ. Individual provider (NPI-1).
NPI number1366090748
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1366090748
- Entity type
- Individual (NPI-1)
- Name
- Myra Lisa Samedy
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2019
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 44SL06268400 | NJ | Yes |
| 1041C0700X | Social Worker, Clinical | 34617 | MD | |
| 1041C0700X | Social Worker, Clinical | SLC200003286 | DC | |
| 1041C0700X | Social Worker, Clinical | 0904016676 | VA |
Practice location
1 Meadowlands Plz Ste 200East Rutherford, NJ 07073-2152
Phone 484-613-1303
Mailing address
2021 Parkview DrRoselle, NJ 07203-3057
Phone 973-687-6668
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