Elizabeth Marie Tello, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

337 Buckwalter Place Blvd Ste 201
Bluffton, SC 29910-5175

Phone

(910) 378-9211

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Jobin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balanced Wellness, LLC

  • Clinical Psychologist
  • Bluffton, SC
  • NPI 1174276513
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1346008182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SUGAR LOAF ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026203",
            "telephone_number": "815-666-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BUCKWALTER PLACE BLVD STE 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105175",
            "telephone_number": "910-378-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLO",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JOBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachael Anne Sutton, PT, DPT
• Megan Swartz
• Robert Swedo, HIS
• Jennifer Robyn Switak, O.D.
• Robert Michael Szypczak, OD
• William P Terry, PT
• Keyshla Texidor Vazquez
• The Bluff Orthodontics
• The Colonel Dental
• The Kroger Co

• Social Worker in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.