MICHAEL DAVID SHORTER LCSW
NPI 1720611775
Social Worker - Clinical in Kennesaw, GA

Active since February 18, 2020PECOS EnrolledAccepts Medicare Assignment
1301 SHILOH RD NW STE 530, KENNESAW, GA 30144(770) 376-0354 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2025, Jun 23, 2025, Aug 25, 2022 and 1 more (4 updates tracked since 2020).

About Michael David Shorter Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID SHORTER LCSW (NPI 1720611775) is an individual clinical provider in Kennesaw, Georgia, licensed in Georgia (CSW007990) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Acworth, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720611775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL DAVID SHORTERCredential: LCSW
Location Address1301 SHILOH RD NW STE 530Kennesaw, GA 30144-7153
Mailing Address1301 Shiloh Rd Nw Ste 520Kennesaw, GA 30144-7153 · (770) 376-0354 · Fax (877) 885-1142
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 18, 2020
Last NPPES UpdateJuly 28, 20254 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1720611775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · CSW007990
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CSW007990 (GA)
1301 SHILOH RD NW STE 530, Kennesaw, GA 30144

Secondary Practice Location 1

Location 11073 Athena CtAcworth, GA 30101-6867 · Phone (770) 376-0354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael David Shorter Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486162211
PECOS Enrollment IDI20250804001936
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1301 SHILOH RD NW STE 530
KENNESAW, GA 30144
Counselor (Professional)
1301 SHILOH RD NW STE 530
KENNESAW, GA 30144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Shorter's NPI number?

The NPI number for Michael Shorter is 1720611775. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Michael Shorter located?

Michael Shorter practices at 1301 Shiloh Rd NW Ste 530, Kennesaw, GA 30144. The listed phone number is (770) 376-0354.

What is Michael Shorter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Shorter enrolled in Medicare?

Yes. Michael Shorter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Shorter was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.