Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elias Simon Champi Tello, LICSW

Individual provider Clinical Social Worker · NPI 1992223234

Elias Simon Champi Tello, LICSW is a Clinical Social Worker in Shrewsbury, Massachusetts. Qualified in 2019, 7 years ago. Practices with Youth Opportunities Upheld Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

112 Hartford Tpke
Shrewsbury, MA 01545-4667
Phone: (508) 918-0162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1130506 (MA)

Record details

NPI number1992223234
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Youth Opportunities Upheld Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Youth Opportunities Upheld Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 12 are shown here.

Other providers in Shrewsbury