Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dennis Manchester-Miles Jr., LICSW

Individual provider Clinical Social Worker · NPI 1639516875

Dennis Manchester-Miles Jr., LICSW is a Clinical Social Worker in Marlborough, Massachusetts. Qualified in 2018, 8 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

11 Apex Dr Ste 300A
Marlborough, MA 01752-1977
Phone: (617) 249-3577
Fax: (617) 812-1702
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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 · Licence 126082 (MA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1639516875
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 29, 2013
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Marlborough