| Mr David Gillard Bostwick Sr, LISW, LCDCIII, SAP | |
|
20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 | |
| (440) 333-4949 | |
| (440) 333-5044 |
| Full Name | Mr David Gillard Bostwick Sr |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 20800 Westgate Professional Center, Fairview Park, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881987378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | I110097 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Effective Living | 9638203318 | 3 |
| Entity Name | Center For Effective Living |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790781102 PECOS PAC ID: 9638203318 Enrollment ID: O20110603000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Gillard Bostwick Sr, LISW, LCDCIII, SAP 20800 Center Ridge Rd, Suite 200, Fairview Park, OH 44126 Ph: (440) 333-4949 | Mr David Gillard Bostwick Sr, LISW, LCDCIII, SAP 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 Ph: (440) 333-4949 |
Ms. Colleen Lynch, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5260 W 227th St, Fairview Park, OH 44126 Phone: 615-969-4575 | |
Sarah Tkac, LISW-S Counselor Medicare: Medicare Enrolled Practice Location: 21270 Lorain Rd, Fairview Park, OH 44126 Phone: 440-672-1299 | |
Jessica Fosnaugh, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 22540 Lorain Rd, Fairview Park, OH 44126 Phone: 440-734-4037 | |
Kristen L Pepera, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21139 Lorain Rd Ste 12, Fairview Park, OH 44126 Phone: 330-529-5667 | |
Judith Meinert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22540 Lorain Rd, Fairview Park, OH 44126 Phone: 440-734-4037 Fax: 440-734-4710 | |
Deeanna Lynn Dillion, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20800 Westgate Professional Center #200, Fairview Park, OH 44126 Phone: 440-333-4949 Fax: 440-333-5044 | |
Cynthia Takaht, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20800 Westgate #200, Fairview Park, OH 44126 Phone: 440-333-4949 Fax: 440-333-5044 |