David Gillard Bostwick Sr., LISW, LCDCIII, SAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I110097 Issued in OH

Practice address

20800 Westgate Professional Center
Suite 200
Fairview Park, OH 44126

Phone

(440) 333-4949

Fax

(440) 333-5044

NPI assigned

May 17, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northern Ohio Health and Wellness LLCGroup PAC ID 0042675456, 6 clinicians

Practice addresses (Care Compare)

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.

• Northern Ohio Health and Wellness LLC

  • Social Worker
  • Strongsville, OH
  • NPI 1073223301

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1881987378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 CENTER RIDGE RD",
            "address_2": "SUITE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE PROFESSIONAL CENTER",
            "address_2": "SUITE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "DAVID",
        "middle_name": "GILLARD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LISW, LCDCIII, SAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I110097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Carl Blankenburg, DDS
• Michael James Bodman, DPM
• Myron A Bodman, DPM
• Jennifer M Bolander
• Ravisankar R Bolla, MD
• Siobhan Bowden
• Jeffrey Bowersox, LSW
• Mark C Boyle, OTR/L
• Bradley Warren Hylan DMD Fairview LLC
• Kathleen B Bremer, MS, PCC-S

• Mental Health Counselor in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.