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NPI Code Detail

MEDICARE: COLLABORATIVE PARENTING SERVICES LLC

MEDICARE: COLLABORATIVE PARENTING SERVICES LLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1760345912
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLABORATIVE PARENTING SERVICES LLC
Provider Business Mailing Address
First Line : 101 FEDERAL ST STE 1900
Second Line :
City : BOSTON
State : MA
Zip : 02110-1861
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 W PARK DR STE 280F
Second Line :
City : WESTBOROUGH
State : MA
Zip : 01581-3942
Country : US
Telephone Number : 617-447-8974
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. ALEXIS BROWN
Credential : LICSW
Telephone Number : 617-447-8974
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/06/2025

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