Rebecca Gracia, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104656 Issued in MI

Practice address

3001 Plymouth Rd Ste 105
Ann Arbor, MI 48105-3205

Phone

(734) 997-5033

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1710338249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 OLIVIA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043934",
            "telephone_number": "248-894-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD STE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-997-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Grabell, MA
• Aria Grabowski, PHD, MPH, RD, CLC
• Kathryn Rose Grace, MD
• Melinda C Grace, ATC, OT
• Tracy Grace, RN
• Bruce Alan Gradolph, R.N.
• Eileen Marie Grady, NP
• Raven Brighid Graetz, LLMSW
• Lori Dimitroff Graf, PT
• Rachal Graff, PA-C

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Aug 26, 2020; 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.