Organization · Type 2 NPI

Gentle Roots Therapeutic Services Licensed Clinical Social Worker A Professional Corporation

Clinical Social Worker · Rancho Cucamonga, CA

NPI number 1265301303 Active

Practice location

7365 Carnelian St Ste 224
Rancho Cucamonga, CA 91730-1157

Call (909) 688-6604 Map

Mailing address

1519 N Lilac Ave
Rialto, CA 92376-3274

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1265301303

Gentle Roots Therapeutic Services Licensed Clinical Social Worker A Professional Corporation's National Provider Identifier is 1265301303, issued on Nov 4, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Aug 31, 2026.