Search › California › 1041C0700X
Kenyada Wagoner, LCSW
NPI 1760172688 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4361 Latham St Ste 220
Riverside, CA 92501 - Phone
- (858) 279-1223
- Organisation at this address
- Nightingale Clinical Care, Pc
Renal Treatment Centers California IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 1906 Commercenter E Ste 210, San Bernardino, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California