Individual provider · Type 1 NPI

Elizabeth Maxine Gannon, LLMSW, QIDP

Clinical Social Worker · Norton Shores, MI

NPI number 1336800226 Active

Practice location

493 W Norton Ave Ste C
Norton Shores, MI 49444-3748

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Clinical Social Worker Primary	1041C0700X	6851120958 (MI)

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 1336800226

Elizabeth Maxine Gannon, LLMSW, QIDP's National Provider Identifier is 1336800226, issued on Jan 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norton Shores, MI. The record was last updated on Sep 15, 2026.