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

Mr. Jack L Ellerbe Jr., MSW, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073185245

Mr. Jack L Ellerbe Jr., MSW, LCAS is an Addiction (Substance Use Disorder) Counselor in Gold Hill, North Carolina. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

665 Timber Trl
Gold Hill, NC 28071-7500
Phone: (704) 279-1199
Fax: (704) 279-7668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 W Dallas Rd, Stanley, NC 28164-2103 — (980) 416-3025

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1073185245
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCAS
Sole proprietorYes
NPI enumeratedJuly 15, 2021
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

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