Individual provider · Type 1 NPI

Benjamin Jared Grossnickle, LCSW-A, LCAS-A

Clinical Social Worker · Greenville, NC

NPI number 1124860705 Active

Practice location

2602 Courtier Dr
Greenville, NC 27834-7818

Call (252) 752-0483 Map

Fax (252) 757-3172

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-29816 (NC)
Clinical Social Worker Primary 1041C0700XC017988 (NC)

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 1124860705

Benjamin Jared Grossnickle, LCSW-A, LCAS-A's National Provider Identifier is 1124860705, issued on Jun 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, NC. The record was last updated on Jan 30, 2025.