Michael David Shorter, LCSW is a
Social Worker - Clinical based in Kennesaw, Georgia. Michael David Shorter is licensed to practice in Georgia (license number CSW007990) and his current practice location is
1301 Shiloh Rd Nw Ste 530, Kennesaw, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 376-0354.
NPI number for Michael David Shorter is 1720611775 and his current mailing address is 1301 Shiloh Rd Nw Ste 520, Kennesaw, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720611775.
Healthcare Provider's Profile
| Full Name | Michael David Shorter |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 1301 Shiloh Rd Nw Ste 530, Kennesaw, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720611775
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 07/10/2025
Medical Identifiers
Medical identifiers for Michael David Shorter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720611775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MSW008424 (Georgia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSW007990 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | MSW008424 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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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