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MR. MICHAEL MANCILLA LICSW
NPI 1164894929
Social Worker - Clinical in Washington, DC

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
437 NEW YORK AVE NW, # 211, WASHINGTON, DC 20001(202) 234-2299 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Mancilla Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL MANCILLA LICSW (NPI 1164894929) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC320318) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1164894929
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL MANCILLACredential: LICSW
Location Address437 NEW YORK AVE NW, # 211Washington, DC 20001-4743
Mailing Address437 New York Ave Nw, # 211Washington, DC 20001-4743 · (202) 234-2299
Phone(202) 234-2299
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 20, 2015
✔ NPI 1164894929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in DC · LC320318
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
437 NEW YORK AVE NW, Washington, DC 20001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Mancilla Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305140740
PECOS Enrollment IDI20160205000800
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mancilla's NPI number?

The NPI number for Michael Mancilla is 1164894929. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Michael Mancilla located?

Michael Mancilla practices at 437 New York Ave NW # 211, Washington, DC 20001. The listed phone number is (202) 234-2299.

What is Michael Mancilla's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Mancilla enrolled in Medicare?

Yes. Michael Mancilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Mancilla was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.