Elias Simon Champi Tello, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW1130506 Issued in MA

Practice address

112 Hartford Tpke
Shrewsbury, MA 01545-4667

Phone

(508) 918-0162

NPI assigned

Sep 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youth Opportunities Upheld IncGroup PAC ID 9638190374, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/youinc/r4/

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.

• Youth Opportunities Upheld, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1245317205
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1992223234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HARTFORD TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454667",
            "telephone_number": "508-918-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARTFORD TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454667",
            "telephone_number": "508-918-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPI TELLO",
        "first_name": "ELIAS",
        "middle_name": "SIMON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1130506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Cavallero, PH.D.
• Centers for Aging and Memory
• Central Mass Clinical Associates (CMCA Choices)
• Central Mass Clinical Associates
• Mia Cerrone
• Karen Chang, DDS
• Lisa Jean Charette, MS-CCC-SLP
• Shefali Chaure
• L. Bryan Cheshire, MD
• Phoebe L Chestna, SLP

• Clinical Social Worker in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.