Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Elizabeth Maxine Gannon, LLMSW, QIDP

Clinical Social Worker in Norton Shores, MI · enumerated 2022 · practices at Fresh Coast Counseling.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336800226

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Registry record

Entity type Individual (Type 1)

Name Elizabeth Maxine Gannon

Credential LLMSW, QIDP

Sex Female

Practice address 493 W Norton Ave Ste C, Norton Shores, MI, 49444

Phone (616) 319-4389

Enumeration date Jan 4, 2022

Last updated in NPPES Sep 15, 2026

Taxonomy & licenses

171M00000X Case Manager/Care Coordinator Other Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 6851120958 (MI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Elizabeth Gannon's NPI record?

Cross-check NPI 1336800226 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1336800226 active?

Yes, as of the latest NPPES snapshot, NPI 1336800226 is active (record last updated 2026-09-15).

Other providers at this practice address

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Kristie Thebo Social Worker · Norton Shores, MI NPI 1801302971 Felipe Trevino Counselor · Norton Shores, MI NPI 1649742297 Fresh Coast Counseling Clinical Social Worker · Norton Shores, MI NPI 1790316867

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-15.