Individual provider · Type 1 NPI

McKenzie Rose Gannon

Clinical Social Worker · Santa Cruz, CA

NPI number 1447952528 Active

Practice location

707 Fair Ave
Santa Cruz, CA 95060-5828

Call (831) 427-1007 Map

Fax (831) 454-0545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X136250 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1447952528

McKenzie Rose Gannon's National Provider Identifier is 1447952528, issued on Mar 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 5, 2026.