Individual provider Active NPI

Gloria A Cervantes-Freeman, ACSW

  • Clinical Social Worker
  • Anaheim, CA
National Provider Identifier
1043789993
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW133214 Issued in CA
Practice address
300 S Harbor Blvd Ste 910
Anaheim, CA 92805-3721
Phone
(562) 821-1491
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X ASW133214 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Behavior Technician 106S00000X

Addresses

Primary practice location

300 S Harbor Blvd Ste 910
Anaheim, CA 92805-3721

Mailing address

300 S Harbor Blvd Ste 910
Anaheim, CA 92805-3721
Phone (562) 821-1491

Other practice location 1

1900 Royalty Dr
Pomona, CA 91767-3032
Phone (909) 766-7340

Other practice location 2

845 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 624-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW133214CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heredia Family Therapy, Inc Clinical PastSince Sep 21, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1043789993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HARBOR BLVD STE 910",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053721",
            "telephone_number": "562-821-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HARBOR BLVD STE 910",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053721",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Royalty Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673032",
            "country_code": "US",
            "telephone_number": "909-766-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917672535",
            "country_code": "US",
            "telephone_number": "909-624-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES-FREEMAN",
        "first_name": "GLORIA",
        "middle_name": "A",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW133214",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.