RAQUEL WELLS A LICENSED CLINICAL SOCIAL WORKER CORPORATION NPI 1104515873

NPI Information

  • NPI: 1104515873
  • Provider Name: RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • :
  • Address: 120 PLEASANT HILL AVE N STE 200Q
    SEBASTOPOL, CA
    ZIP 95472
  • Phone: (415) 294-0032

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NPI Details

RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION is a clinical social worker in Sebastopol, CA. The provider is 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. RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION NPI is 1104515873. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

120 PLEASANT HILL AVE N STE 200Q
SEBASTOPOL, CA
ZIP 95472-167
Phone: (415) 294-0032

The provider's authorized official is Raquel Wells .
The authorized official title is Director and has the following contact phone number (415) 535-8660.

The enumeration date for this NPI number is 5/8/2023 and was last updated on 7/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
21041C0700XSocial WorkerClinicalYes

What is NPI?

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This page was last updated on: 3/30/2025

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