MEDICARE: ZENIA HARRIS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	008509900	FL
2	372500000X	Chore Provider	233180	FL
3	372600000X	Adult Companion	008509900	FL
4	376J00000X	Homemaker	233180	FL
5	1041C0700X	Clinical Social Worker	SW19714	FL

General Provider Information

NPI Number	:	1346679131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZENIA HARRIS LCSW

Provider Business Mailing Address
First Line	:	5700 NW GAINESVILLE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34475-3054
Country	:	US
Telephone Number	:	352-541-5500
Fax Number	:	877-376-2732

Provider Business Practice Location Address
First Line	:	2601 SE LAKE WEIR AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-6720
Country	:	US
Telephone Number	:	352-541-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	03/31/2022

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