Healing Haven Licensed Clinical
NPI 1144046608 · Clinical Social Worker · San Jacinto, CA
Healing Haven Licensed Clinical is a Clinical Social Worker organization in San Jacinto, CA (NPI 1144046608).
Provider details
- NPI number
- 1144046608
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kenyada Wagoner, Owner/Ceo(951) 214-5071
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Healing Haven Licensed Clinical's NPI number?
- Healing Haven Licensed Clinical's National Provider Identifier (NPI) is 1144046608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healing Haven Licensed Clinical?
- Healing Haven Licensed Clinical is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Healing Haven Licensed Clinical located?
- Healing Haven Licensed Clinical's practice location on file with NPPES is 315 E Esplanade Ave Unit 89, San Jacinto, CA 92583-5102.
- What is Healing Haven Licensed Clinical's phone number?
- The practice phone number listed in the NPPES registry for Healing Haven Licensed Clinical is (951) 214-5071.
- Who is the authorized official for Healing Haven Licensed Clinical?
- The authorized official listed on Healing Haven Licensed Clinical's NPPES record is Kenyada Wagoner, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healing Haven Licensed Clinical's NPI active?
- Yes — Healing Haven Licensed Clinical's NPI (1144046608) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.