Michael David Shorter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007990 Issued in GA

Practice address

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

Phone

(770) 376-0354

NPI assigned

Feb 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Resolute Counseling and Consulting LLC

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1134748676

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Blue Ridge Mountain Recover Center, LLC

  dba Blue Ridge Mountain Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Ball Ground, GA
  • NPI 1679840821
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1720611775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447149",
            "telephone_number": "770-376-0354",
            "fax_number": "877-885-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447149",
            "telephone_number": "770-376-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1073 Athena Ct",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301016867",
            "country_code": "US",
            "telephone_number": "770-376-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORTER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "CSW007990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Shaw III, D.D.S.
• Jennifer Shea
• Cadice Shepherd, DC
• Kris Ellen Shock, APC
• Tokunbo Tocee Shokunbi Harmon
• Beatrice Shu, MD
• Virna Lisi Shulman, SLP
• Shwsh LLC
• Natanyah R Siegel, MD
• Jasmine Simmons

• Clinical Social Worker in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.