Provider Demographics
NPI:1679370118
Name:HARRIS, KEYOCAS S (MSW)
Entity type:Individual
Prefix:
First Name:KEYOCAS
Middle Name:S
Last Name:HARRIS
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 TAUNTON GRN STE 206
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3253
Mailing Address - Country:US
Mailing Address - Phone:508-974-4400
Mailing Address - Fax:508-974-4409
Practice Address - Street 1:12 TAUNTON GRN STE 206
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3253
Practice Address - Country:US
Practice Address - Phone:508-974-4400
Practice Address - Fax:508-974-4409
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALSW314232104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker