Mckenzie Granoth, LMSW
Social Worker, Clinical in Middlebury, Connecticut
1114897428- Practice location
- 900 Straits Tpke Ste C107, Middlebury, CT 06762-2865
- Phone
- 475-235-9743
- Fax
- 203-886-1181
- Last updated
- November 11, 2025
Mckenzie Granoth is a Social Worker, Clinical based in Middlebury, CT. Mckenzie Granoth practices in Middlebury, CT and has the professional credentials of LMSW. The NPI Number for Mckenzie Granoth is 1114897428 and holds a License No. 8666 (CT). The current practice location address for Mckenzie Granoth is 900 Straits Tpke Ste C107, Middlebury, CT 06762-2865 and can be reached out via phone at 475-235-9743 and via fax at 203-886-1181.
Provider Profile Details
- NPI Number
- 1114897428
- Provider Name
- Mckenzie Granoth
- Credential
- LMSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 900 Straits Tpke Ste C107, Middlebury, CT 06762-2865
- Phone Number
- 475-235-9743
- Fax Number
- 203-886-1181
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Mckenzie Keddy (Former Name)
- Provider Enumeration Date
- November 11, 2025
- Last Update Date
- November 11, 2025
- Certification Date
- November 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Straits Tpke Ste C107
Middlebury, CT 06762-2865 - City
- Middlebury
- State
- Connecticut
- Zip
- 06762-2865
- Phone Number
- 475-235-9743
- Fax Number
- 203-886-1181
Provider Business Mailing Address Details
- Address
- 900 Straits Tpke Ste C107
Middlebury, CT 06762-2865 - City
- Middlebury
- State
- CT
- Zip
- 06762-2865
- Phone Number
- 475-235-9743
- Fax Number
- 203-886-1181
License Information
- License Number
- 8666
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Middlebury, CT
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- Anchor Clinical Solutions, LLCSocial Worker, Clinical · NPI 1336732627
- Andrew J BandurskiSocial Worker, Clinical · NPI 1659258622
- Aniya Howard, LMSWSocial Worker, Clinical · NPI 1992675292
- April Kenney, LMSWSocial Worker, Clinical · NPI 1871410837
Frequently Asked Questions
What is the NPI number of Mckenzie Granoth, LMSW?
The NPI number of Mckenzie Granoth, LMSW is 1114897428. It was assigned on November 11, 2025 and is currently active in the NPPES registry.
What is the specialty of Mckenzie Granoth, LMSW?
Mckenzie Granoth, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 8666.
Where does Mckenzie Granoth, LMSW practice?
The practice location is 900 Straits Tpke Ste C107, Middlebury, CT 06762-2865. The office can be reached at 475-235-9743 (phone) or 203-886-1181 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114897428 directly on the NPPES registry website.