MARIE SANDRA FUENTES HARRIS LCSW
NPI 1962803882
Social Worker - Clinical in Lake Forest, IL

Q: What is Marie Fuentes Harris's NPI number?

The NPI number for Marie Fuentes Harris is 1962803882. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Q: What is Marie Fuentes Harris's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 10, 2014PECOS EnrolledAccepts Medicare Assignment

1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045(847) 582-2134(847) 535-7285 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Marie Sandra Fuentes Harris Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE SANDRA FUENTES HARRIS LCSW (NPI 1962803882) is an individual clinical provider in Lake Forest, Illinois, licensed in Illinois (149010905) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grayslake, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1962803882

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARIE SANDRA FUENTES HARRISCredential: LCSW

Location Address1000 N WESTMORELAND RD # LEVEL1Lake Forest, IL 60045-1658

Mailing Address1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658 · (847) 582-2134 · Fax (847) 535-7285

Phone(847) 582-2134

Fax(847) 535-7285

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 10, 2014

Last NPPES UpdateSeptember 13, 2022

NPPES CertifiedSeptember 13, 2022

✔ NPI 1962803882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149010905

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1000 N WESTMORELAND RD # LEVEL1, Lake Forest, IL 60045

Open in Google Maps ↗

Secondary Practice Location 1

Location 11475 E Belvidere RdGrayslake, IL 60030-2012 · Phone (847) 582-2134 · Fax (847) 535-7285

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie Sandra Fuentes Harris Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628392131

PECOS Enrollment IDI20150109001147

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL J KELLER M.D.

Internal Medicine (Pulmonary Disease)