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MYRA LISA SAMEDY LSW
NPI 1366090748
Social Worker in Clark, NJ

Active since August 29, 2019PECOS Enrolled
60 WALNUT AVE, FL 2 SUITE 200, CLARK, NJ 07066(732) 882-1920(732) 882-1925 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myra Lisa Samedy Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRA LISA SAMEDY LSW (NPI 1366090748) is an individual social worker in Clark, New Jersey, licensed in New Jersey (44SL06268400) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366090748
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMYRA LISA SAMEDYCredential: LSW
Location Address60 WALNUT AVE, FL 2 SUITE 200Clark, NJ 07066
Mailing Address152 Schuyler AveNorth Arlington, NJ 07031-5412 · (973) 687-6668
Phone(732) 882-1920
Fax(732) 882-1925
Sole ProprietorNo
Enumeration DateAugust 29, 2019
✔ NPI 1366090748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NJ · 44SL06268400
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
60 WALNUT AVE, Clark, NJ 07066
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myra Lisa Samedy Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEAN KAPETANAKIS PT
Specialist
60 WALNUT AVE, SUITE 150
CLARK, NJ 07066
Union County (732) 340-1012
LAUREN MANDELL DPT
Physical Therapist
60 WALNUT AVE, SUITE 180
CLARK, NJ 07066
Union County (732) 340-1012
COUNSELING CENTER AT CLARK, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
60 WALNUT AVE, SUITE #201
CLARK, NJ 07066
Union County (732) 882-1920
IAN MICHAEL MICHELIN LMSW
Counselor (Mental Health)
60 WALNUT AVE
CLARK, NJ 07066
Union County (732) 605-6029
BRITTANY STALLONE
Counselor
60 WALNUT AVE
CLARK, NJ 07066
Union County (732) 605-6029
MS. BRIANNA HORVATH MA, LAC, NCC
Counselor
60 WALNUT AVE
CLARK, NJ 07066
Union County (732) 882-1920
RIA VISHAL KARANGUTKAR LSW
Social Worker
60 WALNUT AVE
CLARK, NJ 07066
Union County (732) 605-6029
ASHLEY SANTONI DPT
Physical Therapist
60 WALNUT AVE, SUITE 180
CLARK, NJ 07066
Union County (732) 340-1012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myra Samedy's NPI number?

The NPI number for Myra Samedy is 1366090748. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Myra Samedy located?

Myra Samedy practices at 60 Walnut Ave Fl 2 Suite 200, Clark, NJ 07066. The listed phone number is (732) 882-1920.

What is Myra Samedy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Myra Samedy enrolled in Medicare?

Yes. Myra Samedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myra Samedy was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.