Raquel Wells, a Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

120 Pleasant Hill Ave N Ste 200Q
Sebastopol, CA 95472-3167

Phone

(415) 294-0032

NPI assigned

May 8, 2023

Organization subpart

Yes

Parent organization

RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATIONAs reported in NPPES

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

Authorized official

Name

Raquel Wells, LCSWNPI 1568807709

Title

Director

Phone

(415) 535-8660

Specialties & licenses 2

Addresses

Other names 1

• Kinship Counseling Collective Doing business as

Part of

Raquel Wells a Licensed Clinical Social Worker Corporation

Locations

Practitioners 2

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

• Raquel C Wells, LCSW

  • Clinical Social Worker
  • Sebastopol, CA
  • NPI 1568807709
  NPD Authorized official
• Nahrie Pierce

  • Social Worker
  • Sebastopol, CA
  • NPI 1801664230
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1104515873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST # 100-535",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724284",
            "telephone_number": "707-503-0569",
            "fax_number": "707-261-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PLEASANT HILL AVE N STE 200Q",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723167",
            "telephone_number": "415-294-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7285 Baker Lane Studio",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "95472",
            "country_code": "US",
            "telephone_number": "415-535-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAQUEL WELLS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-535-8660",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinship Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kinship Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ellisa Michelle Reiff, LMFT

• Clinical Social Worker in Sebastopol, CA
• Providers in Sebastopol, 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 Jul 30, 2025; 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.