Individual provider Active NPI

Sherri Therese Scott, LCSW

  • Clinical Social Worker
  • Blacksburg, VA
National Provider Identifier
1033807805
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014846 Issued in VA
Practice address
700 University City Blvd
Blacksburg, VA 24060-2706
Phone
(540) 961-8300
Fax
(540) 961-8465
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19754 LA
Clinical Social Worker 1041C0700X 0904014846 VA Primary
Clinical Social Worker 1041C0700X C020047 NC
Clinical Social Worker 1041C0700X 12011 MS
Clinical Social Worker 1041C0700X 8930 TN

Addresses

Primary practice location

700 University City Blvd
Blacksburg, VA 24060-2706

Mailing address

700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

Other practice location 1

700 Sunset Dr
Grenada, MS 38901-4091
Phone (662) 307-2884

Other practice location 2

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

Other practice location 3

1635 College Ave
Spindale, NC 28160-0016
Phone (828) 330-9190

Other practice location 4

280A Rees St
Breaux Bridge, LA 70517-4612
Phone (337) 294-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, LA, NC, MS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20260105000894 TN Practitioner - Clinical Social Worker 1759748650 Reassigns benefits to 1 organization
I20260505000437 LA Practitioner - Clinical Social Worker 1759748650 Reassigns benefits to 2 organizations
I20260527001168 NC Practitioner - Clinical Social Worker 1759748650 Reassigns benefits to 2 organizations
I20260528003291 MS Practitioner - Clinical Social Worker 1759748650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19754LAMDClinical Social Worker
12011MSMDClinical Social Worker
C020047NCMDClinical Social Worker
0904014846VAMDClinical Social Worker
8930TNMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince May 1, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2025 Accepting new patients
Kidzcare Pediatrics, PLLC Past Accepting new patients
Kidzcare Pediatrics, PLLC Past Accepting new patients
Fast Pace Mississippi, PLLC PastSince May 1, 2026 Accepting new patients

Locations

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAFAA/Endpoint/BBAFAA

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1033807805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389014091",
            "country_code": "US",
            "telephone_number": "662-307-2884",
            "fax_number": "662-307-2887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "931-762-7232",
            "fax_number": "931-762-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 College Ave",
            "address_purpose": "LOCATION",
            "city": "Spindale",
            "state": "NC",
            "postal_code": "281600016",
            "country_code": "US",
            "telephone_number": "828-330-9190",
            "fax_number": "828-330-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280A Rees St",
            "address_purpose": "LOCATION",
            "city": "Breaux Bridge",
            "state": "LA",
            "postal_code": "705174612",
            "country_code": "US",
            "telephone_number": "337-294-0701",
            "fax_number": "337-294-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHERRI",
        "middle_name": "THERESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "19754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014846",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C020047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "12011",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.