Michael Mookie Cruz Manalili, MA, MTS, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000226082 Issued in MA

Practice address

354 Washington St Ste 221
Wellesley, MA 02481-6221

Phone

(617) 435-9762

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Psychotherapy Associates

  • Psychologist
  • Wellesley, MA
  • NPI 1265900328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1396344453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 MARLBOROUGH ST # 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151502",
            "telephone_number": "818-455-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WASHINGTON ST STE 221",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816221",
            "telephone_number": "617-435-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALILI",
        "first_name": "MICHAEL MOOKIE",
        "middle_name": "CRUZ",
        "name_prefix": "Mr.",
        "credential": "MA, MTS, MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000226082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Magida, MD
• Magnetic Resonance Associates
• Cynthia Puyod Maguire, MD
• Emily R Malkin, D.P.T.
• Kerrie Malloy
• Robert J Mandel, M.D.
• Margaret Mandosa, PA
• Mary Catherine Manesis-Gilbert, DPM
• Nika Manner
• John E Manos, MD

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.