Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Averill, LCSW, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659930618

Jacob Averill, LCSW, LCAS, CCS is an Addiction (Substance Use Disorder) Counselor in Wilmington, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Progress Drive, Burgaw, NC 28425-5001 — (910) 259-0668

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C014123 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25590 (NC)

Record details

NPI number1659930618
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCAS , CCS
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

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