# GRACE D. SHORTT, LCSW ACSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427641018
- **Authorized official:** GRACE DELK SHORTT LCSW, ACSW (OWNER/THERAPIST)
- **Authorized official phone:** (804) 687-0740

## Contact information

- **Practice address:** 8101 VANGUARD DR STE 250, MECHANICSVILLE, VA 23111-4707
- **Practice address phone:** (804) 687-0740
- **Mailing address:** 6771 SHIPS LN, MECHANICSVILLE, VA 23111-4590
- **Mailing address phone:** (540) 797-8932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 02/26/2021