# PETER C. SHORTS LICENSED CLINICAL SOCIAL WORKER PC

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

## Provider details

- **NPI number:** 1528921418
- **Authorized official:** PETER CHARLES SHORTS LCSW (CEO)
- **Authorized official phone:** (760) 902-4961

## Contact information

- **Practice address:** 69550 HIGHWAY 111 STE 202&203, RANCHO MIRAGE, CA 92270-2825
- **Practice address phone:** (760) 902-4961
- **Practice address fax:** (760) 507-8405
- **Mailing address:** 69550 HIGHWAY 111 STE 202&203, RANCHO MIRAGE, CA 92270-2825
- **Mailing address phone:** (760) 902-4961
- **Mailing address fax:** (760) 507-8405

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2025
- **Last updated:** 12/08/2025