Individual provider · Type 1 NPI

Michael David Shorter, LCSW

Clinical Social Worker · Kennesaw, GA

NPI number 1720611775 Active

Practice location

1301 Shiloh Rd NW Ste 210
Kennesaw, GA 30144-7149

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCSW007990 (GA)
Clinical Social Worker Primary 1041C0700XCSW007990 (GA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1720611775

Michael David Shorter, LCSW's National Provider Identifier is 1720611775, issued on Feb 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kennesaw, GA. The record was last updated on Sep 17, 2026.