Michael David Shorter, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kennesaw, Georgia. He graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1301 Shiloh Rd Nw Ste 530, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 376-0354.
Michael David Shorter is licensed to practice in Georgia (license number CSW007990) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720611775.
Healthcare Provider's Profile
| Full Name | Michael David Shorter |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 1301 Shiloh Rd Nw Ste 530, Kennesaw, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael David Shorter graduated from medical school in 2018
NPI Data:
- NPI Number: 1720611775
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486162211
- Enrollment ID: I20250804001936
Medical Identifiers
Medical identifiers for Michael David Shorter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720611775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSW007990 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW007990 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael David Shorter is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael David Shorter, LCSW
1301 Shiloh Rd Nw Ste 520,
Kennesaw, GA 30144-7153
Ph: (770) 376-0354 | Michael David Shorter, LCSW
1301 Shiloh Rd Nw Ste 530,
Kennesaw, GA 30144-7153
Ph: (770) 376-0354 |
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