Frederick M. Misilo, Jr., is Chair of the Trust and Estate Department at Fletcher Tilton PC, a regional law firm with offices in Worcester, Boston, Framingham, Cape Cod and Providence, RI. He also serves on the firm’s Management Committee.

Fred has over thirty-five years of experience in estate planning, estate administration, trust management, and asset protection. He specializes in complex succession planning, with extensive experience in special needs and elder law. He is admitted to practice in Massachusetts, Rhode Island, and Florida, and holds the designation of Certified Trust and Fiduciary Advisor (CTFA).

Attorney Misilo serves as Chair of the Board of Directors for Fallon Health, a Massachusetts-based nonprofit, community-focused health insurance company, as well as for The Arc US Foundation, a Washington, D.C.–based nonprofit that advances the mission of The Arc of the United States—the nation’s largest and oldest civil and human rights organization supporting individuals with intellectual and developmental disabilities. His leadership roles include Past President of both The Arc of the United States and The Arc of Massachusetts, as well as former Chair of the Worcester Regional Chamber of Commerce. He served three terms on the Holden Board of Selectmen, including three years as Chair. In state government, he served as Deputy Commissioner for the Massachusetts Department of Developmental Services during the Weld administration. Earlier in his career, Fred was Executive Director of Harbor Area Community Services, Inc., a Boston-based organization providing residential support to individuals with intellectual and developmental disabilities.

Attorney Misilo was inducted to the Massachusetts Lawyers Weekly Hall of Fame in 2025; received the Key to the City of Worcester in 2025 for his lifelong contributions to advancing the interests of persons with disabilities, seniors, and others to promote their dignity and quality of life through legal advocacy; was honored as Riverview School’s 2024 Dream Maker; received a Lifetime Achievement Award in 2023 by ALM and Law.com; received the 2011 Joseph Andrade Award for Leadership and the 2012 Rose Pessin Memorial Award from The Arc of Massachusetts; and The Arc of Cape Cod presented him with the Arc Angel of the Year Award in 2010. Attorney Misilo has been listed in the Best Lawyers in America® yearly since 2012.

Attorney Misilo provided technical assistance, and his advocacy work was featured in Autism: Coming of Age, a PBS documentary that addressed the challenges faced by individuals with autism and their families. This documentary was chosen by judges from CBS, NPR, ABC and the PBS News Hour as the 2012 winner of the National Journalism Award from the National Institute of Health Care Management.

Attorney Misilo serves clients from the Worcester, Framingham, and Cape Cod offices of Fletcher Tilton. His administrative assistant is Wilma Vallejos, who can be reached at: wvallejos@fletchertilton.com or (508) 459-8079.

Firm Description

The Special Needs Planning Practice Group at Fletcher Tilton P.C. serves families and individuals with special needs by drawing on a wealth of legal and practical knowledge and experience. Comprised of seven attorneys and a support staff of paralegals and administrative assistants, the SNP group is chaired by attorney Frederick M. Misilo, Jr.

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