Kenyada Marie Wagoner, LCSW in Riverside, CA - Medicare Social Worker Provider

Kenyada Marie Wagoner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Riverside, California. Her current practice location is 3939 13th St, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 214-5071.

Kenyada Marie Wagoner is licensed to practice in California (license number 114731) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760172688.

Contact Information

	Kenyada Marie Wagoner, LCSW
	3939 13th St, Riverside, CA 92501-3505
	(951) 214-5071
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenyada Marie Wagoner
Gender	Female
Speciality	Social Worker - Clinical
Location	3939 13th St, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760172688
Provider Enumeration Date: 05/12/2023
Last Update Date: 05/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2567801574
Enrollment ID: I20240423002475

Medical Identifiers

Medical identifiers for Kenyada Marie Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760172688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	114731 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenyada Marie Wagoner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenyada Marie Wagoner, LCSW 315 E Esplanade Ave # 1581, San Jacinto, CA 92583-5102 Ph: (951) 214-5071	Kenyada Marie Wagoner, LCSW 3939 13th St, Riverside, CA 92501-3505 Ph: (951) 214-5071

Reviews and Comments

Social Worker in Riverside, CA

Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5870 Arlington Ave, Riverside, CA 92504 Phone: 951-683-6596
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780
Mr. Christopher John Hanlon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave # 4, Riverside, CA 92507 Phone: 951-955-8000
Mrs. Kristin Jean Miller, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave, Riverside, CA 92507 Phone: 951-715-5040 Fax: 951-784-4976

Kenyada Marie Wagoner, LCSW - Medicare Clinical Social Worker in Riverside, CA