BENJAMIN JARED GROSSNICKLE LCSW-A, LCAS-A
NPI 1124860705
Social Worker - Clinical in Greenville, NC

Q: What is Benjamin Grossnickle's NPI number?

The NPI number for Benjamin Grossnickle is 1124860705. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Q: What is Benjamin Grossnickle's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 12, 2024PECOS EnrolledAccepts Medicare Assignment

2602 COURTIER DR, GREENVILLE, NC 27834(252) 752-0483(252) 757-3172 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Benjamin Jared Grossnickle Lcsw-a, Lcas-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN JARED GROSSNICKLE LCSW-A, LCAS-A (NPI 1124860705) is an individual clinical provider in Greenville, North Carolina, licensed in North Carolina (C017988) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124860705

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameBENJAMIN JARED GROSSNICKLECredential: LCSW-A, LCAS-A

Location Address2602 COURTIER DRGreenville, NC 27834-7818

Mailing Address2602 Courtier DrGreenville, NC 27834-7818 · (252) 752-0483 · Fax (252) 757-3172

Phone(252) 752-0483

Fax(252) 757-3172

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 12, 2024

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1124860705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C017988

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-29816 (NC)

2602 COURTIER DR, Greenville, NC 27834

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Jared Grossnickle Lcsw-a, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779004601

PECOS Enrollment IDI20250307003517

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA RENEE CONNER MS, LPC, LCAS

Counselor (Addiction (Substance Use Disorder))