Clinical Solutions, Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLINICAL SOLUTIONS, LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

1519 Washington Ave
San Jacinto, CA 92583-6075

Phone

(951) 214-5071

NPI assigned

May 7, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenyada Wagoner, LCSWNPI 1760172688

Title

Co-Owner

Phone

(951) 214-5071

Specialties & licenses 5

Addresses

Other names 1

• Clinical Solutions Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenyada Marie Wagoner, LCSW

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1760172688
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1124955737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ESPLANADE AVE # 89",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835102",
            "telephone_number": "951-214-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 WASHINGTON AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836075",
            "telephone_number": "951-214-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SOLUTIONS, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "KENYADA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "951-214-5071",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Lee Chuy, M.D.
• Sandy Marie Cima
• Eloisa Cisneros Vizcaya, MSW
• Takoya L Clark, LVN
• Cleanjet Logistics LLC
• Ron W Cloyd, R.PH
• Comport Services Inc
• Korin Alyse Congdon
• Congregate San Jacinto
• Eloisa Contreras

• Clinical Social Worker in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.