{
  "npi": "1003668120",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-09-28",
    "credential": "LCSW",
    "enumeration_date": "2024-04-02",
    "first_name": "SHERRON",
    "last_name": "EDDY",
    "last_updated": "2026-09-28",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "400 COLLEGE DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MIDDLEBURG",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "320688523",
      "state": "FL"
    },
    {
      "address_1": "542194 US HIGHWAY 1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CALLAHAN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "320118109",
      "state": "FL",
      "telephone_number": "904-339-5826"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "sw21606",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1003668120",
      "LAST_NAME": "EDDY",
      "FIRST_NAME": "SHERRON",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "N",
      "PMD": "N",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "80",
        "medicare_type": "Licensed Clinical Social Worker"
      }
    ]
  }
}