ELIAS SIMON CHAMPI TELLO MSW INTERN
NPI 1992223234
Social Worker - Clinical in Worcester, MA

Q: 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.

Q: What is Elias Champi Tello's specialty?

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

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment

81 PLANTATION ST, WORCESTER, MA 01604(508) 849-5600 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elias Simon Champi Tello Msw Intern NPPES

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

ELIAS SIMON CHAMPI TELLO MSW INTERN (NPI 1992223234) is an individual clinical provider in Worcester, 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

NPI1992223234

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameELIAS SIMON CHAMPI TELLOCredential: MSW INTERN

Location Address81 PLANTATION STWorcester, MA 01604-3069

Mailing Address81 Plantation StWorcester, MA 01604-3069 · (508) 849-5600

Phone(508) 849-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 7, 2017

Last NPPES UpdateFebruary 14, 2026

NPPES CertifiedFebruary 14, 2026

✔ NPI 1992223234 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 MA · LICSW1130506

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.

81 PLANTATION ST, Worcester, MA 01604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elias Simon Champi Tello Msw Intern 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.

PECOS PAC ID4981183852

PECOS Enrollment IDI20260210003894

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 01604 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 $58.86 – $177.36

Typical copayment $0.00 (range $14.71 – $44.34)

Most-billed visit code NA

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

ROBERT JARRARD III

Counselor (Mental Health)