BLS metro-level wage data places Mental Health and Substance Abuse Social Workers pay in Winston-Salem, NC at a median of $60,110 per year ($28.90/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $60,280, Winston-Salem pays same as, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 140 mental health and substance abuse social workerss are employed across the Winston-Salem MSA in SOC 21-1023.

The Winston-Salem pay distribution spans from $38,430 at the 10th percentile to $91,080 at the 90th — a 2.4× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $49,000 and the 75th at $75,770, so half of Winston-Salem-based mental health and substance abuse social workerss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Winston-Salem, NC covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide NC data, and peer-metro comparisons — a median is a starting point, not a ceiling.