Organization Active NPI

Sherry R Scott

  • Social Worker
  • Ferndale, MI
National Provider Identifier
1659923159
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SHERRY R SCOTT
Practice address
2900 Hilton Rd
Ferndale, MI 48220-1017
Phone
(586) 738-4374
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Sherry Regina Scott, LMSWNPI 1245671312
Title
Ceo
Phone
(586) 738-4374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary
Community/Behavioral Health Agency 251S00000X
Adult Day Care Clinic/Center 261QA0600X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2900 Hilton Rd
Ferndale, MI 48220-1017

Mailing address

16021 Dugan St
Roseville, MI 48066-1480
Phone (586) 738-4374

Other practice location 1

16021 Dugan St
Roseville, MI 48066-1480
Phone (586) 738-4374

Other identifiers 2

IdentifierTypeStateIssuer
1245671312MedicaidMI
6801115505MedicaidMI

Other names 4

  • Time Together Adult Day Center Doing business as
  • Time Together Day Center, LLC Doing business as
  • Time Together Adult Day Center, LLC Former legal business name
  • Sherry R Scott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103001710 MI Part B Supplier - Clinic/Group Practice 1456761477 Receives reassigned benefits from 3 practitioners
Practice locations: Ferndale, MI; Warren, MI

National Provider Directory

National Provider Directory

Locations

2900 Hilton Rd
Ferndale, MI 48220
Phone (586) 738-4374

21323 Harper Ave
St Clr Shores, MI 48080
Phone (586) 738-4374

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1659923159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 DUGAN ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661480",
            "telephone_number": "586-738-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HILTON RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201017",
            "telephone_number": "586-738-4374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16021 Dugan St",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480661480",
            "country_code": "US",
            "telephone_number": "586-738-4374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHERRY R SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-738-4374",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245671312",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6801115505",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time Together Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Time Together Day Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Time Together Adult Day Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sherry R Scott",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sherry R Scott",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.