Individual provider Active NPI

Keyocas S Harris, MSW

  • Social Worker
  • Taunton, MA
National Provider Identifier
1679370118
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW314232 Issued in MA
Practice address
12 Taunton GRN Ste 206
Taunton, MA 02780-3253
Phone
(508) 974-4400
Fax
(508) 974-4409
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW314232 MA Primary

Addresses

Primary practice location

12 Taunton GRN Ste 206
Taunton, MA 02780-3253

Mailing address

12 Taunton GRN Ste 206
Taunton, MA 02780-3253
Phone (508) 974-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW314232MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Therapeutic Services CurrentSince Mar 11, 2025 Accepting new patients

Locations

12 Taunton Grn
Ste 206
Taunton, MA 02780
Phone (508) 823-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1679370118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TAUNTON GRN STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803253",
            "telephone_number": "508-974-4400",
            "fax_number": "508-974-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TAUNTON GRN STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803253",
            "telephone_number": "508-974-4400",
            "fax_number": "508-974-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KEYOCAS",
        "middle_name": "S",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LSW314232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.