MR. CHARLES L BORIS (LISW) – Social Worker, NPI 1871684589

MR. CHARLES L BORIS (LISW) is a healthcare provider. based in Boardman, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I2272 (OH). The NPI Number for MR. CHARLES L BORIS (LISW) is 1871684589

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES L BORIS (LISW)
NPI
1871684589
Phone
(330) 783-9690
Address
725 BOARDMAN CANFIELD RD
Enumeration Date
27 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303308655
Graduation Year
1973 (53 years ago)
PAC ID
1557642345
Group Practice PAC ID
8820334931
Professional Enrollment ID
I20170110003030
Address ID
OH445124370BO725XXRDXX402
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

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Provider Addresses for MR. CHARLES L BORIS (LISW)

  • 725, Boardman Canfield Road, Park View Estates, Boardman, Mahoning County, Ohio, 44512, United States

    BUILDING D

    BOARDMAN, OH 44512

    Phone: (330) 783-9690

    Fax: (330) 783-9693

    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: 2017-01-10

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
I20170110003030IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour25225$0
View full utilization report →

Insurance plans in this area (ZIP 44512)

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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: 8820334931View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerPA
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Marriage And Family TherapistOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What is the registry number for MR. CHARLES L BORIS (LISW)?
The registry entry for MR. CHARLES L BORIS (LISW) shows NPI 1871684589.
Quick check: is MR. CHARLES L BORIS (LISW) active?
Public NPPES data shows MR. CHARLES L BORIS (LISW) with an active NPI status right now.
What services align with MR. CHARLES L BORIS (LISW)'s listing?
MR. CHARLES L BORIS (LISW)'s public classification highlights Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. CHARLES L BORIS (LISW)?
MR. CHARLES L BORIS (LISW) is associated with Boardman, Ohio in the same public data insurers reference.
Can I export MR. CHARLES L BORIS (LISW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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