Individual provider · Type 1 NPI

Samantha Elizabeth Maytidu

Clinical Social Worker · Kinnelon, NJ

NPI number 1619521044 Active

Practice location

118 Boonton Ave
Kinnelon, NJ 07405-2964

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05855800 (NJ)

Clinical Social Worker: 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 interpers…

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About NPI 1619521044

Samantha Elizabeth Maytidu's National Provider Identifier is 1619521044, issued on Jul 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kinnelon, NJ. The record was last updated on Jul 24, 2019.