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

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: July 19, 2026.

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

  • Individual
  • Female
  • Social Worker
  • Clinical

About MCKENZIE GANNON

This page provides the complete NPI Profile along with additional information for Mckenzie Gannon, a provider established in Santa Cruz, California with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1447952528 assigned on March 2023. The practitioner's primary taxonomy code is 1041C0700X with license number 136250 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1447952528 Verify this NPI
Provider Name
MCKENZIE ROSE GANNON
Gender
Female
Entity Type
Individual
Location Address
707 FAIR AVE SANTA CRUZ, CA 95060
Location Phone
(831) 427-1007
Location Fax
(831) 454-0545
Mailing Address
707 FAIR AVE SANTA CRUZ, CA 95060
Mailing Phone
(831) 427-1007
Mailing Fax
(831) 454-0545
Is Sole Proprietor?
No
Enumeration Date
03-21-2023
Last Update Date
01-05-2026
Code Navigator

A clinical social worker like Mckenzie Gannon is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
136250
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Case Manager/Care Coordinator
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Case Management
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
707 FAIR AVE
SANTA CRUZ, CA 95060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447952528, enumerated as an "individual" on March 21, 2023.

The provider is located at 707 FAIR AVE SANTA CRUZ, CA 95060 and the phone number is (831) 427-1007.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.