ELIAS SIMON CHAMPI TELLO LICSW
NPI 1992223234
Social Worker - Clinical in Shrewsbury, MA
About Elias Simon Champi Tello Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIAS SIMON CHAMPI TELLO LICSW (NPI 1992223234) is an individual clinical provider in Shrewsbury, Massachusetts, licensed in Massachusetts (LICSW1130506) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elias Simon Champi Tello Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elias Champi Tello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01606
- Reassigned Medicare billing, Massachusetts enrollment
- 40 clinicians in this Medicare group
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 01545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elias Champi Tello's NPI number?
The NPI number for Elias Champi Tello is 1992223234. It was assigned to this individual provider in the NPPES registry on September 7, 2017.
Where is Elias Champi Tello located?
Elias Champi Tello practices at 112 Hartford Tpke, Shrewsbury, MA 01545. The listed phone number is (508) 918-0162.
What is Elias Champi Tello's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Elias Champi Tello enrolled in Medicare?
Yes. Elias Champi Tello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elias Champi Tello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elias Champi Tello reassigns Medicare benefits to Youth Opportunities Upheld, Inc. (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elias Champi Tello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elias Champi Tello was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elias Simon Champi Tello, LICSW · NPI 1992223234
Clinical provider in Shrewsbury, Massachusetts. Individual provider, active in the CMS NPPES registry since September 7, 2017.
## Identity
- **NPI:** 1992223234 (Entity type: Individual)
- **Enumerated:** September 7, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LICSW1130506 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 112 HARTFORD TPKE, Shrewsbury, MA 01545-4667
- **Phone:** (508) 918-0162
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Youth Opportunities Upheld, Inc. (NPI 1245317205, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1992223234) · Data from the CMS NPPES public registry.