Gentle Roots Therapeutic Services Licensed Clinical Social Worker a Professional Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GENTLE ROOTS THERAPEUTIC SERVICES LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORPORATION

Practice address

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

Phone

(909) 688-6604

NPI assigned

Nov 4, 2025

Organization subpart

No

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

Authorized official

Name

Shareela AllenNPI 1578793337

Title

LCSW

Phone

(909) 688-6604

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shareela Marie Allen

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1578793337
  NPD Authorized official
• Vanessa Williams

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1013799170
  NPD (past)

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1265301303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N LILAC AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763274",
            "telephone_number": "909-688-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 224",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301157",
            "telephone_number": "909-688-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE ROOTS THERAPEUTIC SERVICES LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHAREELA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "909-688-6604"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gebrail
• Jeri Lynne Geleris, F.N.P.
• Gemini Plastic Surgery Associates (Gemini Plastic Surgery)
• Japoria Tahnoya General
• Gentle Hands Wound Care LLC
• Geo Hospice Care Inc.
• George P & Harriet H Hajjar Family Dentistry (a Ca General Partnership
• Jeffrey George
• Georgina Ines Lamphere a Professional Psychology Corporation
• Georgina Lamphere PHD

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.