Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Jared Grossnickle, LCSW-A, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124860705

Benjamin Jared Grossnickle, LCSW-A, LCAS-A is a Clinical Social Worker in Greenville, North Carolina. Qualified in 2022, 4 years ago. Practices with Easter Seals Ucp North Carolina and Virginia, Inc, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2602 Courtier Dr
Greenville, NC 27834-7818
Phone: (252) 752-0483
Fax: (252) 757-3172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C017988 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-29816 (NC)

Record details

NPI number1124860705
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-A , LCAS-A
Sole proprietorNo
NPI enumeratedJune 12, 2024
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Easter Seals Ucp North Carolina And Virginia, Inc. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville