Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Mancilla LICSW

Organization Clinical Social Worker · NPI 1295374478

Michael Mancilla LICSW is a Clinical Social Worker in Washington, District of Columbia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone: (202) 234-2299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1295374478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mancilla — Therapist/Owner · (202) 234-2299
Other names Michael Mancilla Licsw; Pride Therapy Dc; Michael Mancilla Licsw
NPI enumeratedJanuary 5, 2020
Last updated in NPPESJanuary 5, 2020
Certification dateJanuary 5, 2020
Mailing address437 New York Ave Nw Apt 211, Washington, DC 20001-4746

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