Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elias Simon Champi Tello, MSWINTERN

Individual provider Clinical Social Worker · NPI 1992223234

Elias Simon Champi Tello, MSWINTERN is a Clinical Social Worker in Worcester, 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
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Practice location Address checks out

81 Plantation St
Worcester, MA 01604-3069
Phone: (508) 849-5600
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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 MSWINTERN
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 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

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