Gloria Esther Fontes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW81836 Issued in CA

Practice address

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706

Phone

(909) 436-3235

NPI assigned

Apr 24, 2012

Last updated

Jan 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Gloria Esther Baeza Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

San Bernardino Mountains Community Hospital DistrictGroup PAC ID 7012826878, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• San Bernardino Mountains Community Hospital District

  dba Mountains Community Hospital

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799
  Medicare reassignment NPD
• San Bernardino Mountains Community Hospital District

  dba Mountains Community Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Lake Arrowhead, CA
  • NPI 1528172541
  Medicare reassignment NPD
• County of Stanislaus

  dba Caire CSS

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1639208820
  NPD (past)
• San Bernardino Mountains Community Hospital District

  dba Running Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Running Springs, CA
  • NPI 1881703957
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1902164304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-525-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HOSPITAL RD",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923529706",
            "telephone_number": "909-436-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTES",
        "first_name": "GLORIA",
        "middle_name": "ESTHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LCSW81836",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "ASW 30541",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW81836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "BAEZA",
            "middle_name": "ESTHER",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald D. Doty, M.D. (Doty Family Medical)
• Virginia (Ginny) Dern Dunn, DPT
• Elite Hospitalist Medical Group, Inc.
• Marguerita Reyes Eno, CCC-SLP
• Laurie Kathleen Everett, P.T.
• Camille Evon Fuller, DPT
• Mary Edith Galvin, RNC FNP PHD
• Garfield Beach CVS LLC (CVS Pharmacy # 10999)
• Guy Gerald Giacopuzzi, DDS
• John Clarke Hankey, MD

• Clinical Social Worker in Lake Arrowhead, CA
• Providers in Lake Arrowhead, 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 Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.