| Elias Simon Champi Tello, LICSW | |
|
112 Hartford Tpke, Shrewsbury, MA 01545-4667 | |
| (508) 918-0162 | |
| Not Available |
| Full Name | Elias Simon Champi Tello |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 112 Hartford Tpke, Shrewsbury, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992223234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW1130506 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youth Opportunities Upheld Inc | 9638190374 | 15 |
| Entity Name | Youth Opportunities Upheld Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Elias Simon Champi Tello, LICSW 112 Hartford Tpke, Shrewsbury, MA 01545-4667 Ph: (508) 918-0162 | Elias Simon Champi Tello, LICSW 112 Hartford Tpke, Shrewsbury, MA 01545-4667 Ph: (508) 918-0162 |
Renee E. Klein, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 586 Main St, Shrewsbury, MA 01545 Phone: 508-842-3100 Fax: 508-842-0700 |
Mrs. Laura Jean Powell, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 586 Main St, Shrewsbury, MA 01545 Phone: 508-842-6711 |
Mrs. Rebecca F Connole, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 Sherwood Ave, Shrewsbury, MA 01545 Phone: 508-841-8680 |
Paul Kelleher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 Blackstone St, Shrewsbury, MA 01545 Phone: 508-549-5600 |
Denis Michael Leary, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 59 South St, Shrewsbury, MA 01545 Phone: 508-963-3674 |
Cristina M Finn, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Maple Ave, Shrewsbury, MA 01545 Phone: 508-845-6932 |
Mrs. Jamie Lynne Stacy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 586 Main St, Shrewsbury, MA 01545 Phone: 508-842-6711 |