MCKENZIE ROSE GANNON
NPI 1447952528
Social Worker - Clinical in Santa Cruz, CA

Q: What is Mckenzie Gannon's NPI number?

The NPI number for Mckenzie Gannon is 1447952528. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Mckenzie Gannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Gannon was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 21, 2023

707 FAIR AVE, SANTA CRUZ, CA 95060(831) 427-1007(831) 454-0545 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 5, 2026, Jun 27, 2024, Mar 21, 2023 (3 updates tracked since 2023).

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About Mckenzie Rose Gannon NPPES

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

MCKENZIE ROSE GANNON (NPI 1447952528) is an individual clinical provider in Santa Cruz, California, licensed in California (136250) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1447952528

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMCKENZIE ROSE GANNON

Location Address707 FAIR AVESanta Cruz, CA 95060-5828

Mailing Address707 Fair AveSanta Cruz, CA 95060-5828 · (831) 427-1007 · Fax (831) 454-0545

Phone(831) 427-1007

Fax(831) 454-0545

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1447952528 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 CA · 136250

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

707 FAIR AVE, Santa Cruz, CA 95060

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Other Providers at the Same Location NPPES 20

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

ANGEL VALDEZ

Counselor (Addiction (Substance Use Disorder))