Individual ProviderMonique HarrisSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194(702) 809-9339PECOS EnrollmentBased on the most recent information from CMS, provider Monique Harris is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1063672681Provider TypeIndividualFull NameHarris, MoniqueCredentialMSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date6/17/2008Last Updated5/2/2017Contact InformationPractice LocationPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194Phone(702) 809-9339FaxUnlisted FaxMailing LocationMailing Address6440 Sea Swallow St, North Las Vegas, NV 89084-2822Phone(702) 809-9339FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6969CNevadaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense5139-SNevada