Michael Manchester-Miles, LICSW, LADC-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW1121572 Issued in MA

Practice address

11 Apex Dr Ste 300a
Marlborough, MA 01752-1977

Phone

(617) 249-3577

Fax

(617) 812-1702

NPI assigned

Sep 24, 2019

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Onyx Counseling and Wellness LLC

  • Social Worker
  • Marlborough, MA
  • NPI 1952054546

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1780235416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 APEX DR STE 300A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521977",
            "telephone_number": "617-249-3577",
            "fax_number": "617-812-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 APEX DR STE 300A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521977",
            "telephone_number": "617-249-3577",
            "fax_number": "617-812-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER-MILES",
        "first_name": "MICHAEL",
        "credential": "LICSW, LADC-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "15623",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1121572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arieliz K Maldonado
• Cynthia Maldonado
• Megan Maloney
• Hye Rin Malsky
• Dennis Manchester-Miles Jr., LICSW
• Tarah Manda
• Julia Manfredonia
• Matthew Ryan Mann
• Tatiana Mann
• Asja Manning

• Clinical Social Worker in Marlborough, MA
• Providers in Marlborough, 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 Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.