Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael David Shorter, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720611775

Michael David Shorter, LCSW is a Clinical Social Worker in Kennesaw, Georgia. Qualified in 2018, 8 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1301 Shiloh Rd NW Ste 530
Kennesaw, GA 30144-7153
Phone: (770) 376-0354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1073 Athena Ct, Acworth, GA 30101-6867 — (770) 376-0354

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007990 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CSW007990 (GA)

Record details

NPI number1720611775
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address1301 Shiloh Rd Nw Ste 520, Kennesaw, GA 30144-7153

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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