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Kenyada Marie Wagoner, LCSW
Clinical Social Worker in Riverside, California
NPI 1760172688

Kenyada Marie Wagoner is a Clinical Social Worker based in San Jacinto, CA and is specialized in Clinical. Kenyada Marie Wagoner practices in Riverside, CA and has the professional credentials of LCSW. The NPI Number for Kenyada Marie Wagoner is 1760172688 and holds a License No. 114731 (California).

The current practice location address for Kenyada Marie Wagoner is 3939 13Th St, Riverside, CA and can be reached out via phone at 951-214-5071.

Location: 3939 13Th St, Riverside, CA, 92583-5102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760172688
Provider Name
Kenyada Marie Wagoner
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3939 13Th St, Riverside, CA, 92583-5102
Phone Number
951-214-5071
Fax Number
Provider Enumeration Date
05/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3939 13Th St
City
Riverside
State
California
Zip
92501-3505
Phone Number
951-214-5071
Fax Number
person
Provider Business Mailing Address Details
Address
3939 13Th St
City
Riverside
State
California
Zip
92501-3505
Phone Number
951-214-5071
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
114731 (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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