Benny Locklear Jr., LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018517 Issued in NC

Practice address

432 E Long Ave Ste 2
Gastonia, NC 28054-2540

Phone

(980) 416-3025

Fax

(980) 448-3419

NPI assigned

Dec 5, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ethos Services

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1639806359

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1467162065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E LONG AVE STE 2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542540",
            "telephone_number": "980-416-3023",
            "fax_number": "980-448-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E LONG AVE STE 2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542540",
            "telephone_number": "980-416-3025",
            "fax_number": "980-448-3419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W Dallas Rd",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281642103",
            "country_code": "US",
            "telephone_number": "980-416-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "BENNY",
        "name_suffix": "Jr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467162065",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cARE360",
            "affiliation": "Y",
            "affiliationName": "Ethos Services LLC",
            "address_1": "503 Park St",
            "city": "Belmont",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280123223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cARE360",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "503 Park St",
            "city": "Belmont",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280123223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raven Diana Little, RN
• Robert Gaston Littlejohn Jr., CRNA
• Kristen Rose Litvak, LCMHCS, LCAS, CCS
• James William Locke III, PSY D
• Mishelle L Lockerby, MA, LPC, LCMHC, LMHC
• Joey Douglas Lockman, LCAS
• Suvarna Murti Lodhia, M.D
• Talia Lyschel Loftin, LCMHC-A
• Alesha Nicole Logan, FNP-BC
• Rickmon Oliver Logan, PA-C

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.