Myra Lisa Samedy, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06268400 Issued in NJ

Practice address

1 Meadowlands PLZ Ste 200
East Rutherford, NJ 07073-2152

Phone

(484) 613-1303

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Supportive Care Psychology of NJ PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1356840003
  Medicare reassignment NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1366090748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PARKVIEW DR",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072033057",
            "telephone_number": "973-687-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEADOWLANDS PLZ STE 200",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070732152",
            "telephone_number": "484-613-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEDY",
        "first_name": "MYRA",
        "middle_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34617",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06268400",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "SLC200003286",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality ABA Services
• Raising the Bar Rehabilitation and Fitness LLC
• Revolutionary Rehab Wellness Corp
• Tara Rossine, LCSW
• Shahera A Saleh
• Sonia J Sanchez Perez
• John C Scolamiero, MD
• Janet Kathleen Seaman, BCBA
• Scott H Shacknow, D.M.D.
• Prarthana Rushabh Shah Parmani, M.D.

• Social Worker in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.