Elizabeth Maxine Gannon, LLMSW, QIDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851120958 Issued in MI

Practice address

493 W Norton Ave Ste C
Norton Shores, MI 49444-3748

Phone

(616) 319-4389

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1336800226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 W NORTON AVE STE C",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443748",
            "telephone_number": "616-319-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 W NORTON AVE STE C",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443748",
            "telephone_number": "616-319-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "ELIZABETH",
        "middle_name": "MAXINE",
        "credential": "LLMSW, QIDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851120958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Lynn Gabris
• Evette L Gaddesbutler
• Cathie M Gagnon, PT
• Jean M Gallagher
• Courtney Helene Galy, PA-C, RDN
• Alicia A Gappa, NP
• Kathryn Garcia, DPT
• Raina Garg, MBBS
• Kathryn Charlene Gerard, AU.D
• Elizabeth Rachel Gibbs, MS OTRL

• Clinical Social Worker in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.