DAVID G EARLEY (LISW-S) – Clinical Social Worker, NPI 1346360641

DAVID G EARLEY (LISW-S) is a healthcare provider. based in Wooster, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I.0700416-SUPV (OH). The NPI Number for DAVID G EARLEY (LISW-S) is 1346360641

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID G EARLEY (LISW-S)
NPI
1346360641
Phone
(330) 641-6688
Address
2285 BENDEN DR
Enumeration Date
30 March 2007
Last Update Date
11 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304395651
Graduation Year
1997 (29 years ago)
PAC ID
0648532093
Group Practice PAC ID
3971850660
Professional Enrollment ID
I20180322001486
Address ID
OH446914325WO201XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for DAVID G EARLEY (LISW-S)

  • 2285 BENDEN DR

    WOOSTER, OH 446912568

    Phone: (330) 641-6688

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180322001486IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44691)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971850660View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID G EARLEY (LISW-S)'s NPI?
Yes. DAVID G EARLEY (LISW-S) is listed with NPI 1346360641 in the public NPI dataset.
Does the file indicate DAVID G EARLEY (LISW-S) is practicing under active NPI?
Directory data currently reports DAVID G EARLEY (LISW-S) as active.
What is DAVID G EARLEY (LISW-S)'s primary classification?
Clinical Social Worker is the headline specialty for DAVID G EARLEY (LISW-S) here. Clinical services aligned with this taxonomy classification.
Does DAVID G EARLEY (LISW-S) list a practice location?
Patients near Wooster, Ohio may find DAVID G EARLEY (LISW-S) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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