Individual ProviderKimberly Denise HarrisSocial WorkerBehavioral Health & Social Service ProvidersPractice Address8011 Brooks Chapel Rd Ste 3761, Brentwood, TN 37027-3964(417) 312-9025PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Denise Harris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1518963149Provider TypeIndividualFull NameHarris, Kimberly DeniseTitleMs.CredentialLCSW, ACSWGenderFemaleSole ProprietorYesEnumeration Date6/28/2005Last Updated8/11/2020Contact InformationPractice LocationPractice Address8011 Brooks Chapel Rd Ste 3761, Brentwood, TN 37027-3964Phone(417) 312-9025FaxUnlisted FaxMailing LocationMailing Address8011 Brooks Chapel Rd Ste 3761, Brentwood, TN 37027-3964Phone(417) 312-9025FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLSW0000004257TennesseeCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8769CArkansas