MEDICARE: MINDFUL PARENT CLINIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1548111263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL PARENT CLINIC PLLC

Provider Business Mailing Address
First Line	:	34 HARVARD ST UNIT 1
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-6018
Country	:	US
Telephone Number	:	781-604-0558
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 HARVARD ST UNIT 1
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-6018
Country	:	US
Telephone Number	:	781-604-0558
Fax Number	:

Authorized Official
Title or Position	:	OWNER, MANAGING MEMBER
Name	:	EMILY VOSBURGH
Credential	:	LICSW
Telephone Number	:	505-263-2247

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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