Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Healing Haven Licensed Clinical

Clinical Social Worker in San Jacinto, CA · enumerated 2024 · authorized official Kenyada Wagoner, Owner/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144046608

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Registry record

Entity type Organization (Type 2)

Legal business name Healing Haven Licensed Clinical

Practice address 315 E Esplanade Ave Unit 89, San Jacinto, CA, 92583

Phone (951) 214-5071

Enumeration date Dec 2, 2024

Last updated in NPPES Mar 20, 2025

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Kenyada Wagoner

Title Owner/Ceo

Phone (951) 214-5071

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Healing Haven Licensed Clinical located?

The practice location on file with NPPES is in San Jacinto, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-20.