Christopher George Boller, LCSW
NPI 1609921121ActiveIndividual· Social Worker, Clinical· South Ozone Park, NY
Social Worker, Clinical (LCSW) in South Ozone Park, New York, licensed in NY, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1609921121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Aug 24, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 072771-1 | NY |
| Social Worker | 104100000X | 072771-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
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