Individual provider Active NPI

Samantha Mandala

  • Social Worker
  • Howell, NJ
National Provider Identifier
1902412372
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06593000 Issued in NJ
Practice address
2340 Route 9
Howell, NJ 07731-4016
Phone
(732) 987-9770
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06593000 NJ Primary

Addresses

Primary practice location

2340 Route 9
Howell, NJ 07731-4016

Mailing address

2340 Route 9
Howell, NJ 07731-4016

Other identifiers 1

IdentifierTypeStateIssuer
0029807MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221025001087 NJ Practitioner - Clinical Social Worker 4587030036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Counseling Center LLCGroup PAC ID 4284054446, 10 clinicians

Practice addresses (Care Compare)

2340 US Hwy 9
Suite A2
Howell, NJ 07731-4016
Phone (732) 987-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06593000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Center, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

2340 US Highway 9
Ste A2
Howell, NJ 07731
Phone (732) 637-8231

2340 US Highway 9
Howell, NJ 07731
Phone (732) 942-6868

2358 US Highway 9
Ste B5
Howell, NJ 07731
Phone (609) 529-6193

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1902412372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 ROUTE 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 ROUTE 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314016",
            "telephone_number": "732-987-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDALA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06593000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.