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

Individual provider Clinical Social Worker · NPI 1164894929

Mr. Michael Mancilla, LICSW is a Clinical Social Worker in Washington, District of Columbia. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
36
Licensed in
DC
In the registry since
2015
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

437 New York Ave NW # 211
Washington, DC 20001-4743
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 · Licence LC320318 (DC)

Record details

NPI number1164894929
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 20, 2015
Last updated in NPPESOctober 20, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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