Grace Delk Shortt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005721 Issued in VA

Practice address

1101 Professional Dr Ste B
Williamsburg, VA 23185-3301

Phone

(757) 561-4110

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace D. Shortt, LCSW Acsw LLC

  • Clinical Social Worker
  • Mechanicsville, VA
  • NPI 1427641018
  Medicare reassignment NPD Authorized official
• Invicta Wellness Center

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1952989188
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1104053305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL DR STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853301",
            "telephone_number": "757-561-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL DR STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853301",
            "telephone_number": "757-561-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTT",
        "first_name": "GRACE",
        "middle_name": "DELK",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Leonard Shelton II, MD
• John Murdaugh Shepherd Jr., DDS
• Krita Sheth, ANP-BC
• Stephen Wyatt Shield, M.D.
• Kerrie A Shively
• Michael C. Shuck, D.D.S.
• Eric Roy Shuey, BCBA
• Avani Siddhapura, OD
• Mohammad Siddiqui, MD
• B Jane Siegel, LPC LMFT

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.