Active NPI
Samantha Bombel, LCSW
- Clinical Social Worker
- Princeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL06838200
- Practice address
- 5 Vaughn Drive, Suite 108
Princeton, NJ 08540 - Phone
- (732) 393-8391
- Fax
- (732) 561-1721
- NPI assigned
- Feb 10, 2025
- Last updated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06838200 | NJ | Primary |
Addresses
Primary practice location
5 Vaughn Drive, Suite 108
Princeton, NJ 08540
Mailing address
5 Vaughn Drive, Suite 108
Princeton, NJ 08540
Phone (732) 393-8391
Other practice location 1
2 Paragon Way, Suite 800
Freehold, NJ 07728-0772
Phone (732) 393-8391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06838200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree of Life Counseling Center, LLC | Clinical | Current | Accepting new patients |
Locations
2 Paragon Way
Ste 800
Freehold, NJ 07728
Phone (732) 393-8391
5 Vaughn Dr
Ste 108
Princeton, NJ 08540
Phone (732) 393-8391
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1093520926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 VAUGHN DRIVE, SUITE 108",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "732-393-8391",
"fax_number": "732-561-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 VAUGHN DRIVE, SUITE 108",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "732-393-8391",
"fax_number": "732-561-1721"
}
],
"practiceLocations": [
{
"address_1": "2 Paragon Way, Suite 800",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "077280772",
"country_code": "US",
"telephone_number": "732-393-8391",
"fax_number": "732-561-1721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOMBEL",
"first_name": "SAMANTHA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL06838200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.