MARY SALEHI-BOETTLER MSW, ACSW, LISW
NPI 1780704197
Social Worker - Clinical in Canton, OH

Q: What is Mary Salehi-boettler's NPI number?

The NPI number for Mary Salehi-boettler is 1780704197. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Mary Salehi-boettler's specialty?

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

Active since March 30, 2007PECOS Enrolled

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mary Salehi-boettler Msw, Acsw, Lisw NPPES

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

MARY SALEHI-BOETTLER MSW, ACSW, LISW (NPI 1780704197) is an individual clinical provider in Canton, Ohio, licensed in Ohio (I0008792) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780704197

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY SALEHI-BOETTLERCredential: MSW, ACSW, LISW

Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 455-2101

Phone(330) 455-0374

Fax(330) 455-2101

Sole ProprietorNo

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1780704197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I0008792

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.

625 CLEVELAND AVE NW, Canton, OH 44702

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Other Identifiers 1

Medicare PINSASW30361OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Salehi-boettler Msw, Acsw, Lisw 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Salehi-boettler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax County, Virginia

252 mi

Mental Health (Including Community Mental Health Center)

12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035

Reassigned Medicare billing, District of Columbia enrollment
Medicare enrollment name: Director Of Finance-County Of Fairfax Va
383 clinicians in this Medicare group

NPI 1154356244 (703) 324-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44702 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 $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)