MR. CHRISTOPHER GEORGE BOLLER LCSW
NPI 1609921121
Social Worker - Clinical in South Ozone Park, NY

Q: What is Christopher Boller's NPI number?

The NPI number for Christopher Boller is 1609921121. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Christopher Boller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 24, 2007PECOS Enrolled

10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420(718) 845-2620(718) 845-9380 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Christopher George Boller Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHRISTOPHER GEORGE BOLLER LCSW (NPI 1609921121) is an individual clinical provider in South Ozone Park, New York, licensed in New York (072771-1) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609921121

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. CHRISTOPHER GEORGE BOLLERCredential: LCSW

Location Address10819 ROCKAWAY BLVDSouth Ozone Park, NY 11420-1034

Mailing Address15122 85th DrJamaica, NY 11432-2510 · (171) 873-9392

Phone(718) 845-2620

Fax(718) 845-9380

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateAugust 24, 2009

✔ NPI 1609921121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 072771-1

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 072771-1 (NY)

10819 ROCKAWAY BLVD, South Ozone Park, NY 11420

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Other Identifiers 4

Medicare ID-Type Unspecified06186NY

Other072771-1NY · Lcsw

Medicaid00072771NY

Medicare UPINQ09985NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christopher George Boller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.00 – $201.98

Typical copayment $0.00 (range $16.75 – $50.49)

Most-billed visit code NA

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA KHAN

Counselor (Addiction (Substance Use Disorder))