Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH MAXINE GANNON LLMSW, QIDP
NPI 1336800226
Social Worker - Clinical in Norton Shores, MI

Active since January 04, 2022
493 W NORTON AVE STE C, NORTON SHORES, MI 49444(616) 319-4389 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, Jan 4, 2022 (2 updates tracked since 2022).

About Elizabeth Maxine Gannon Llmsw, Qidp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MAXINE GANNON LLMSW, QIDP (NPI 1336800226) is an individual clinical provider in Norton Shores, Michigan, licensed in Michigan (6851120958) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1336800226
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH MAXINE GANNONCredential: LLMSW, QIDP
Location Address493 W NORTON AVE STE CNorton Shores, MI 49444-3748
Mailing Address493 W Norton Ave Ste CNorton Shores, MI 49444-3748 · (616) 319-4389
Sole ProprietorNo
Enumeration DateJanuary 4, 2022
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1336800226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851120958
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
493 W NORTON AVE STE C, Norton Shores, MI 49444

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
493 W NORTON AVE STE C
NORTON SHORES, MI 49444
Social Worker (Clinical)
493 W NORTON AVE STE C
NORTON SHORES, MI 49444
Social Worker
493 W NORTON AVE STE C
NORTON SHORES, MI 49444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Gannon's NPI number?

The NPI number for Elizabeth Gannon is 1336800226. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Elizabeth Gannon located?

Elizabeth Gannon practices at 493 W Norton Ave Ste C, Norton Shores, MI 49444. The listed phone number is (616) 319-4389.

What is Elizabeth Gannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth Gannon was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.