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Shaw Eberhardt, LCSW
NPI 1386915866 · on the registry since 2012 · sole proprietor
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Licence revoked, suspended or surrendered
- Authority
- Section 1128b4 · permissive · until licence restored
- Excluded
- 2018-08-20
- Recorded as
- Social Worker
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 6105 Memorial Hwy
Suite C
Tampa, FL 33615 - Phone
- (813) 391-3273
- Fax
- (813) 882-0221
- Organisation at this address
- Kerry Kott Lac Llc
Porter Medical Group
Max Health Wellness Corp
Gold Care Home Health Llc
I Can Grow Aba Therapy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida