TELE WILSON-BAHOUN
NPI 1215535604
Social Worker - Clinical in Cambridge, MA

Q: What is Tele Wilson-bahoun's NPI number?

The NPI number for Tele Wilson-bahoun is 1215535604. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Q: What is Tele Wilson-bahoun's specialty?

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

Active since October 16, 2020PECOS Enrolled

875 MASSACHUSETTS AVE STE 84, CAMBRIDGE, MA 02139(802) 500-2862(617) 354-4452 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tele Wilson-bahoun NPPES

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

TELE WILSON-BAHOUN (NPI 1215535604) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (128563) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215535604

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTELE WILSON-BAHOUN

Location Address875 MASSACHUSETTS AVE STE 84Cambridge, MA 02139-3071

Mailing Address875 Massachusetts Ave Ste 84Cambridge, MA 02139-3071 · (802) 500-2862 · Fax (617) 354-4452

Phone(802) 500-2862

Fax(617) 354-4452

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 16, 2020

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedOctober 15, 2024

✔ NPI 1215535604 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 MA · 128563

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

875 MASSACHUSETTS AVE STE 84, Cambridge, MA 02139

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Secondary Practice Location 1

Location 11100 Washington St Ste 206Boston, MA 02124-5538 · Phone (617) 325-2993 · Fax (617) 325-5618

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tele Wilson-bahoun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406333087

PECOS Enrollment IDI20260126001463

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 02139 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 $63.72 – $189.86

Typical copayment $0.00 (range $15.93 – $47.46)

Most-billed visit code NA

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 5

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

DR. SHAYNA M PERRY PSYD

Psychologist (Clinical)