Healthcare Provider Details

I. General information

NPI: 1205234911
Provider Name (Legal Business Name): SHERRIE PACE MSW, LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2014
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 LITTLE FALLS DRIVE
TRYON NC
28782-3395
US

IV. Provider business mailing address

103B JONESTOWN RD
ASHEVILLE NC
28804-3007
US

V. Phone/Fax

Practice location:
  • Phone: 772-224-9061
  • Fax:
Mailing address:
  • Phone: 772-224-9061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-20823
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC010680
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: