Benjamin Jared Grossnickle, LCSW-A, LCAS-A is a
Social Worker - Clinical based in Greenville, North Carolina. Benjamin Jared Grossnickle is licensed to practice in North Carolina (license number P017779) and his current practice location is
2602 Courtier Dr, Greenville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 752-0483.
NPI number for Benjamin Jared Grossnickle is 1124860705 and his current mailing address is 2602 Courtier Dr, Greenville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124860705.
Healthcare Provider's Profile
Full Name | Benjamin Jared Grossnickle |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2602 Courtier Dr, Greenville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124860705
- Provider Enumeration Date: 06/12/2024
- Last Update Date: 06/12/2024
Medical Identifiers
Medical identifiers for Benjamin Jared Grossnickle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124860705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-29816 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P017779 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Jared Grossnickle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Benjamin Jared Grossnickle, LCSW-A, LCAS-A 2602 Courtier Dr, Greenville, NC 27834-7818 Ph: (252) 752-0483 | Benjamin Jared Grossnickle, LCSW-A, LCAS-A 2602 Courtier Dr, Greenville, NC 27834-7818 Ph: (252) 752-0483 |
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