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

Tele Wilson-Bahoun

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215535604

Tele Wilson-Bahoun is a Clinical Social Worker in Cambridge, Massachusetts. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

875 Massachusetts Ave Ste 84
Cambridge, MA 02139-3071
Phone: (802) 500-2862
Fax: (617) 354-4452
Show map & directions

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

Additional practice locations (1)

  • 1100 Washington St Ste 206, Boston, MA 02124-5538 — (617) 325-2993

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128563 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215535604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address875 Massachusetts Ave Ste 84, Cambridge, MA 02139-3071

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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