Individual provider Active NPI

Samantha Powell, LSW

  • Social Worker
  • Marlton, NJ
National Provider Identifier
1912522509
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06471200 Issued in NJ
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129000070 NJ Practitioner - Clinical Social Worker 9234587411 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06471200NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Multi-Specialty CurrentSince Oct 14, 2023 Accepting new patients
Clarity and Wellness LLC Social Worker CurrentSince Jan 26, 2022 Accepting new patients
Caring Counselors Inc Multi-Specialty CurrentSince Sep 3, 2025 Accepting new patients
Lifebulb LLC Multi-Specialty CurrentSince Oct 14, 2023 Accepting new patients
Caring Counselors Inc Multi-Specialty CurrentSince Jan 9, 2024 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.

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

Verify at the official NPI Registry.