MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) – Mental Health Counselor, NPI 1881987378

MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) is a healthcare provider. based in Fairview park, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW, LCDCIII, SAP. They hold a License No. I110097 (OH). The NPI Number for MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) is 1881987378

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP)
NPI
1881987378
Phone
(440) 333-4949
Address
20800 CENTER RIDGE RD
Enumeration Date
17 May 2011
Last Update Date
17 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404628587
Graduation Year
2009 (17 years ago)
PAC ID
4284011891
Group Practice PAC ID
0042675456
Professional Enrollment ID
I20220520001817
Address ID
OH440172534BE1XXXXCMNS310
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP)

  • 20800 CENTER RIDGE RD

    SUITE 200

    FAIRVIEW PARK, OH 44126

    Phone: (440) 333-4949

    Fax: (440) 333-5044

    Type: Mailing

  • 20800 WESTGATE PROFESSIONAL CENTER

    SUITE 200

    FAIRVIEW PARK, OH 44126

    Phone: (440) 333-4949

    Fax: (440) 333-5044

    Type: Location

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: 2022-05-20

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
I20220520001817IClinical 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 44126)

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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: 0042675456View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Nurse PractitionerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What NPI should I save for MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP)?
Save NPI 1881987378 if you need a stable reference for MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP).
Is MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP)'s NPI currently valid?
The extract we use shows MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) as active.
What does MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) treat or focus on?
Patients typically see MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) practice in Ohio?
You will see Fairview Park, Ohio on file for MR. DAVID GILLARD SR. BOSTWICK (LISW, LCDCIII, SAP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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