Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McKenzie Rose Gannon

Individual provider Clinical Social Worker · NPI 1447952528

McKenzie Rose Gannon is a Clinical Social Worker in Santa Cruz, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

707 Fair Ave
Santa Cruz, CA 95060-5828
Phone: (831) 427-1007
Fax: (831) 454-0545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 136250 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447952528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

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