Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gloria Root

Individual provider Social Worker · NPI 1912527698

Gloria Root is a Clinical Social Worker in Ponca City, Oklahoma. Qualified in 2020, 6 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

407 W South Ave
Ponca City, OK 74601-6133
Phone: (580) 749-5056
Fax: (580) 215-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1912527698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address407 W South Ave, Ponca City, OK 74601-6133

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ponca City