Kenyada Wagoner, LCSW
NPI 1760172688 · Clinical Social Worker · Riverside, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenyada Wagoner, LCSW is a Clinical Social Worker provider in Riverside, CA (NPI 1760172688).
Provider details
- NPI number
- 1760172688
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 114731 (CA)
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
3 yrs 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
- 2023-05-12
- Last updated
- 2023-05-12
- Certified
- 2023-05-12
Frequently asked questions
- What is Kenyada Wagoner's NPI number?
- Kenyada Wagoner's National Provider Identifier (NPI) is 1760172688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenyada Wagoner's specialty?
- Kenyada Wagoner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kenyada Wagoner located?
- Kenyada Wagoner's practice location on file with NPPES is 3939 13th St, Riverside, CA 92501-3505.
- What is Kenyada Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Kenyada Wagoner is (951) 214-5071.
- Does Kenyada Wagoner accept Medicare?
- Kenyada Wagoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenyada Wagoner's NPI active?
- Yes — Kenyada Wagoner's NPI (1760172688) is active in the NPPES registry as of the last update on 2023-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.