Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jimesha Wagoner

Individual provider Social Worker · NPI 1023837333

Jimesha Wagoner is a Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

840 N Avenue 66
Los Angeles, CA 90042-1508
Phone: (626) 395-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 131874 (CA)
Social Worker Taxonomy 104100000X

Record details

NPI number1023837333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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