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RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
NPI 1104515873
Social Worker - Clinical in Sebastopol, CA

Active since May 08, 2023
120 PLEASANT HILL AVE N STE 200Q, SEBASTOPOL, CA 95472(415) 294-0032 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, May 8, 2023 (2 updates tracked since 2023).

About Raquel Wells, A Licensed Clinical Social Worker Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI 1104515873), doing business as Kinship Counseling Collective, is a healthcare organization registered as a clinical in Sebastopol, California and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Sebastopol and lists Raquel Wells, Director, as its authorized official.

NPPES Registry Identity

NPI1104515873
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Location Address120 PLEASANT HILL AVE N STE 200QSebastopol, CA 95472-3167
Mailing Address200 S Main St # 100-535Sebastopol, CA 95472-4284 · (707) 503-0569 · Fax (707) 261-1258
Phone(415) 294-0032
Organization SubpartYes
Authorized OfficialRaquel WellsDirector · (415) 535-8660
Enumeration DateMay 8, 2023
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1104515873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
120 PLEASANT HILL AVE N STE 200Q, Sebastopol, CA 95472
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Other Names 1

Doing Business AsKinship Counseling Collective

Secondary Practice Location 1

Location 17285 Baker Lane StudioSebastopol, CA 95472 · Phone (415) 535-8660

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL C WELLS LCSW
Social Worker (Clinical)
120 PLEASANT HILL AVE N STE 200Q
SEBASTOPOL, CA 95472
Sonoma County (415) 294-0032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raquel Wells, A Licensed Clinical Social Worker Corporation's NPI number?

The NPI number for Raquel Wells, A Licensed Clinical Social Worker Corporation is 1104515873. It was assigned to this organization in the NPPES registry on May 8, 2023. The provider is doing business as Kinship Counseling Collective.

Where is Raquel Wells, A Licensed Clinical Social Worker Corporation located?

Raquel Wells, A Licensed Clinical Social Worker Corporation is located at 120 Pleasant Hill Ave N Ste 200Q, Sebastopol, CA 95472. The listed phone number is (415) 294-0032.

What is Raquel Wells, A Licensed Clinical Social Worker Corporation's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Raquel Wells, A Licensed Clinical Social Worker Corporation was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.