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SAMANTHA ELIZABETH MAYTIDU
NPI 1619521044
Social Worker - Clinical in Kinnelon, NJ

Active since July 24, 2019
118 BOONTON AVE, KINNELON, NJ 07405(973) 838-1881 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Samantha Elizabeth Maytidu NPPES

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

SAMANTHA ELIZABETH MAYTIDU (NPI 1619521044) is an individual clinical provider in Kinnelon, New Jersey, licensed in New Jersey (44SC05855800) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1619521044
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA ELIZABETH MAYTIDU
Location Address118 BOONTON AVEKinnelon, NJ 07405-2964
Mailing Address118 Boonton AveKinnelon, NJ 07405-2964 · (973) 838-1881
Phone(973) 838-1881
Sole ProprietorYes
Enumeration DateJuly 24, 2019
✔ NPI 1619521044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05855800
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
118 BOONTON AVE, Kinnelon, NJ 07405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Samantha Maytidu's NPI number?

The NPI number for Samantha Maytidu is 1619521044. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Samantha Maytidu located?

Samantha Maytidu practices at 118 Boonton Ave, Kinnelon, NJ 07405. The listed phone number is (973) 838-1881.

What is Samantha Maytidu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Samantha Maytidu was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.