Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie Sandra Fuentes Harris, LCSW

Individual provider Clinical Social Worker · NPI 1962803882

Marie Sandra Fuentes Harris, LCSW is a Clinical Social Worker in Lake Forest, Illinois. Qualified in 1996, 30 years ago. Practices with Nancy Eschbach LCSW and Associates, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1000 N Westmoreland Rd # LEVEL1
Lake Forest, IL 60045-1658
Phone: (847) 582-2134
Fax: (847) 535-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1475 E Belvidere Rd, Grayslake, IL 60030-2012 — (847) 582-2134

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149010905 (IL)

Record details

NPI number1962803882
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Nancy Eschbach Lcsw And Associates — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Forest