Individual provider Active NPI

Samantha Ada Ayudant, MSW, LSW, SSW

  • School Social Worker
  • Hillside, NJ
National Provider Identifier
1033913173
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
01878580 Issued in NJ
Practice address
195 Virginia St
Hillside, NJ 07205-2742
Phone
(908) 352-7664
NPI assigned
Apr 1, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL07353600 NJ
School Social Worker 1041S0200X 01878580 NJ Primary

Addresses

Primary practice location

195 Virginia St
Hillside, NJ 07205-2742

Mailing address

437 Brookside Dr
Roselle, NJ 07203-2957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL07353600NJMDSocial Worker
01878580NJMDSchool Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1033913173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 BROOKSIDE DR",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 VIRGINIA ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052742",
            "telephone_number": "908-352-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUDANT",
        "first_name": "SAMANTHA",
        "middle_name": "ADA",
        "credential": "MSW, LSW, SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07353600",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "01878580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.