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 |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 15 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 | 5 |
Entity Name | Center For Effective Living |
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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 |
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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 |