Amanda Nicole Benton, LCSWA, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021543 Issued in NC

Practice address

6255 Towncenter Dr Ste 825
Clemmons, NC 27012-9376

Phone

(704) 980-9186

NPI assigned

Oct 30, 2024

Last updated

Apr 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy & Grace Counseling PLLC

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1376423764

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Gaston Family Health Services, Inc.

  dba Kintegra at Cooleemee Elementary

  • Federally Qualified Health Center (FQHC)
  • Cooleemee, NC
  • NPI 1902531452
  NPD
• Transitions Therapeutic Care LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1104068006

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1841012739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 HEATHER VIEW LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274517",
            "telephone_number": "336-470-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 TOWNCENTER DR STE 825",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129376",
            "telephone_number": "704-980-9186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 S Westgate Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071686",
            "country_code": "US",
            "telephone_number": "336-907-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-30321",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021543",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "18357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Barrett, PMHNP-BC
• Richard Bartholomew, PA-C
• Sierra Basara
• Ashlyn Tilley Baughn
• Tyler Beal
• Jeffrey Berish, RPH
• Besure LLC
• Melanie N Bhambri, CNM
• Amy E Bizjak
• Frances Amanda Blackwell, MSW, LCSW

• Clinical Social Worker in Clemmons, NC
• Providers in Clemmons, 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 Apr 28, 2026; 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.