Individual provider · Type 1 NPI

McKenzie Granoth, LMSW

Clinical Social Worker · Middlebury, CT

NPI number 1114897428 Active

Practice location

900 Straits Tpke Ste C107
Middlebury, CT 06762-2865

Fax (203) 886-1181

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	8666 (CT)

Clinical Social Worker: 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 interpers…

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About NPI 1114897428

McKenzie Granoth, LMSW's National Provider Identifier is 1114897428, issued on Nov 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middlebury, CT. The record was last updated on Nov 11, 2025.