Gabriela Marita Vega Bravo, SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801119460 Issued in MI

Practice address

110 South Third Street
Suite 120
Saint Clair, MI 48079-5346

Phone

(810) 294-1230

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Gabriela Marita Vega Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resilience Therapy LLCGroup PAC ID 7113337809, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilience Therapy LLC

  • Social Worker
  • Grand Rapids, MI
  • NPI 1184225575
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MI

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  MI

  Medicare reassignment
• New Chapters Counseling Services, PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1730706292
  NPD
• Rewire Your Mind Behavioral Health Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Saint Clair, MI
  • NPI 1053297630
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1013680339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 3RD ST STE 120",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795369",
            "telephone_number": "810-294-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH THIRD STREET",
            "address_2": "SUITE 120",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795346",
            "telephone_number": "810-294-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Burton St SE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064669",
            "country_code": "US",
            "telephone_number": "616-236-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA BRAVO",
        "first_name": "GABRIELA",
        "middle_name": "MARITA",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801119460",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "VEGA",
            "middle_name": "MARITA",
            "prefix": "MRS.",
            "credential": "SOCIAL WORK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dominick William Van Beneden
• Martina Rose Van Beneden
• Zoey Olivia Vanbaak
• Abbigail Elizabeth Vargo, LLMSW
• Hilary Vaughn, PHARMD
• Kris Chilson Wellman, DPT
• Deidra White
• William Dale Whiting Sr., MA SW
• Cynthia Deborah Wilcome, LLMSW
• Sheila Marie Wolak, LMSW ACSW

• Clinical Social Worker in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.