Raquel Wells, A Licensed Clinical Social Worker Corporation
NPI 1104515873ActiveOrganization· Social Worker, Clinical· Sebastopol, CA
Social Worker, Clinical in Sebastopol, California, registered in NPPES in May 2023, part of Raquel Wells, A Licensed Clinical Social Worker Corporation. The authorized official on file is Raquel Wells, LCSW, Director.
Overview
| NPI | 1104515873 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Raquel Wells, A Licensed Clinical Social Worker Corporation |
| NPI issued | May 8, 2023 |
| Last updated in NPPES | Jul 30, 2025 |
| Certified by provider | Jul 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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