Active NPI
Samantha Powell, LSW
- Social Worker
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06471200
- Practice address
- 31 N Maple Ave Apt 513
Marlton, NJ 08053-1740 - Phone
- (609) 372-6205
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06471200 | NJ | Primary |
Addresses
Primary practice location
31 N Maple Ave Apt 513
Marlton, NJ 08053-1740
Mailing address
31 N Maple Ave Apt 513
Marlton, NJ 08053-1740
Phone (609) 372-6205
Other practice location 1
212 E Madison Ave
Magnolia, NJ 08049-1409
Phone (856) 602-4841
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06471200 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Multi-Specialty | Current | Accepting new patients |
| Clarity and Wellness LLC | Social Worker | Current | Accepting new patients |
| Caring Counselors Inc | Multi-Specialty | Current | Accepting new patients |
| Lifebulb LLC | Multi-Specialty | Current | Accepting new patients |
| Caring Counselors Inc | Multi-Specialty | Current | Accepting new patients |
Locations
3 Lincoln Hwy
Ste 102A
Edison, NJ 08820
20000 Horizon Way
Ste 120
Mount Laurel, NJ 08054
Phone (856) 269-0019
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
Organizations & group practices 5
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.
-
- Addiction (Substance Use Disorder) Counselor
- Marlton, NJ
- NPI 1265183503
Social Worker
-
- Community/Behavioral Health Agency
- Mount Laurel, NJ
- NPI 1326173477
Multi-Specialty
-
dba Thriveworks
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1912522509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 N MAPLE AVE APT 513",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531740",
"telephone_number": "609-372-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 N MAPLE AVE APT 513",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531740",
"telephone_number": "609-372-6205"
}
],
"practiceLocations": [
{
"address_1": "212 E Madison Ave",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "NJ",
"postal_code": "080491409",
"country_code": "US",
"telephone_number": "856-602-4841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06471200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.