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Pyramid Healthcare
Gastonia, North Carolina

Licensed Counselor - Behavioral Health & Detox (LCMHC/LCSW)

Social WorkerIncludes weekendsFull-Time

Listed compensation

$60k-$65k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 18m ago · Verified live

Job Description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

  • Licensed Behavioral Health Counselor – LCSW-A / LCMHC-A
  • Location: Freedom Detox – Gastonia, NC | Pyramid Healthcare
  • Salary: $60,000–$65,000 annually, based on licensure and experience
  • Schedule: Full-Time | Monday–Friday | Daytime Hours | Occasional Weekend Availability Required
  • Benefits: Comprehensive Benefits Package
  • Make a Difference in Behavioral Health & Substance Use Recovery

Freedom Detox, part of Pyramid Healthcare, is seeking a compassionate and experienced Licensed Behavioral Health Counselor to join our clinical team in Gastonia, NC.

This is an excellent opportunity for a dedicated clinical professional who is passionate about helping individuals navigate substance use recovery and behavioral health challenges. The ideal candidate will have experience providing individual and group counseling, conducting clinical assessments, managing crisis situations, and collaborating with a multidisciplinary treatment team.

Candidates must hold an active North Carolina LCSW-A or LCMHC-A, with full licensure (LCSW or LCMHC) also accepted.

The position offers a consistent Monday–Friday daytime schedule, with occasional weekend availability required to support program needs.

What You'll Do

  • Provide individual, family, and group counseling to clients receiving detox and substance use treatment.
  • Complete comprehensive clinical assessments and develop individualized treatment plans.
  • Facilitate therapeutic and psychoeducational groups.
  • Apply evidence-based clinical approaches, including Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI).
  • Provide trauma-informed care and support clients throughout the treatment and recovery process.
  • Utilize effective de-escalation and crisis intervention techniques.
  • Maintain accurate, timely, and thorough clinical documentation.
  • Participate in treatment team meetings and collaborate with medical and clinical staff.
  • Assist with discharge planning and coordinate appropriate aftercare services.
  • Support utilization review and insurance authorization activities.
  • Assist with clinical programming and implementation of best practices.
  • Maintain a safe, supportive, and therapeutic environment for clients.

What We're Looking For

Required Qualifications

  • Master's degree in Counseling, Social Work, Psychology, Chemical Dependency, or a related field.
  • Active North Carolina LCSW-A or LCMHC-A required.
  • Full North Carolina LCSW or LCMHC licensure also accepted.
  • Experience providing substance use treatment, behavioral health, or mental health services.

Preferred Clinical Skills & Experience

  • Strong understanding and application of Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI).
  • Experience providing trauma-informed care.
  • Strong group facilitation and counseling skills.
  • Excellent clinical documentation and assessment skills.
  • Knowledge of substance use treatment and recovery-focused clinical practices.
  • Effective de-escalation and crisis intervention abilities.
  • Excellent communication and interpersonal skills.
  • Ability to remain calm, professional, and effective in challenging situations.
  • Ability to work collaboratively within a multidisciplinary treatment team.

Why Join Freedom Detox?

  • Competitive salary of $60,000–$65,000 annually, based on licensure and experience.
  • Consistent full-time Monday–Friday daytime schedule.
  • Comprehensive benefits package.
  • Professional development and advancement opportunities.
  • Collaborative clinical environment with supportive leadership.
  • Meaningful work supporting individuals through detox and recovery.

Ready to Make a Difference?

If you're an LCSW-A, LCMHC-A, LCSW, or LCMHC with a passion for behavioral health and substance use treatment, we'd love to hear from you!

Join the Freedom Detox team in Gastonia, NC, and help individuals take meaningful steps toward lasting recovery. Apply today!

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.

We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.

COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards for Full-Time Positions

  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

Want to Know More?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Key Responsibilities

The counselor will provide individual, family, and group therapy while conducting clinical assessments and developing individualized treatment plans for clients in detox. They will also collaborate with a multidisciplinary team to ensure effective crisis intervention, discharge planning, and adherence to evidence-based clinical practices.

Requirements

Candidates must hold a Master's degree in a relevant field such as Counseling, Social Work, or Psychology. An active North Carolina LCSW-A, LCMHC-A, LCSW, or LCMHC license is required for this position.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Individual CounselingClinical AssessmentTreatment PlanningMultidisciplinary Collaboration

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Licensed Counselor - Behavioral Health & Detox (LCMHC/LCSW) at Pyramid Healthcare a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Licensed Clinical Social Worker (LCSW) — ranked against 2,010 active Licensed Clinical Social Worker (LCSW) listings on WeekdayDoc.

Social Worker Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$63k midpoint carries the purchasing power of roughly $66k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Licensed Clinical Social Worker (LCSW) by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in licensed clinical social worker (lcsw)ranked against 2,010 Licensed Clinical Social Worker (LCSW) listingslisting-based score, 0–10
Listed pay$60k–$65kLicensed Clinical Social Worker (LCSW) median $55k (middle half $54k–$55k)13 comparable listings, Nov 2026
Cost-of-living adjusted pay~$66k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Social Work listings in North Carolina207 active—live on WeekdayDoc, Nov 2026
All licensed clinical social worker (lcsw) listings in North Carolina231 active7,161 nationallylive on WeekdayDoc, Nov 2026
Sign-on & loan repaymentnot statedNorth Carolina social worker listings (all specialties): 14% state a sign-on bonus (median $4k) · 3% offer loan repayment231 active listings, Nov 2026
New Social Work listings2,537 in the last 30 days1,436 the 30 days before (+77%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (2,010 Licensed Clinical Social Worker (LCSW) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all licensed clinical social worker (lcsw)s: too few North Carolina Social Work postings state pay.

Top Licensed Clinical Social Worker (LCSW) Jobs

18 matches · ranked by pay

Salary Distribution

18 jobs · 10 employers
5
<$90k
4
$90k-110k
4
$110k-130k
5
$130k-150k

Annual compensation range

Benefits & Perks

13 jobs · 10 employers
401k / retirement match
100% this job
Sign-on bonus
46%
CME allowance
31%

Share of similar jobs offering each benefit

#1

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Northeast Family Services · New York, New York

$62-$70/hr
#2

Licensed Clinical Social Worker (LCSW)

LifeStance Health · Portland, Oregon

$123k-$141k
#3

Temporary Licensed Certified Social Worker - Clinical (LCSW-C)

$65/hr
#4

Licensed Certified Social Worker - Clinical (LCSW-C) - Full School Year

$65/hr
+ 16 more · ranked by pay

Work-life snapshot

median 6.1this job 6.4
Better work-life than 60% of Licensed Clinical Social Worker (LCSW) listings

Listing-based score, 0–10, across 2,010 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement
Employee Recognition Programs
Referral Bonus opportunities

Living in Gastonia

Typical 3-bedroom home value
$275k≈ 4.6× annual pay
Typical market rent
$1,483/mo≈ 30% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.