Active NPIIndividual providerSole proprietor

Elias S Champi Tello, LICSW

Social Worker, Clinical in Shrewsbury, Massachusetts

NPI Number1992223234
Practice location
112 Hartford Tpke, Shrewsbury, MA 01545-4667
Fax
—
Last updated
September 17, 2026

Elias Simon Champi Tello is a Social Worker, Clinical based in Shrewsbury, MA. Elias Simon Champi Tello practices in Shrewsbury, MA and has the professional credentials of LICSW. The NPI Number for Elias Simon Champi Tello is 1992223234 and holds a License No. LICSW1130506 (MA). The current practice location address for Elias Simon Champi Tello is 112 Hartford Tpke, Shrewsbury, MA 01545-4667 and can be reached out via phone at 508-918-0162.

Provider Profile Details

NPI Number
1992223234
Provider Name
Elias Simon Champi Tello
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
112 Hartford Tpke, Shrewsbury, MA 01545-4667
Phone Number
508-918-0162
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2017
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Hartford Tpke
Shrewsbury, MA 01545-4667
Zip
01545-4667
Phone Number
508-918-0162
Shrewsbury, MA 01545Get directions →

Provider Business Mailing Address Details

Address
112 Hartford Tpke
Shrewsbury, MA 01545-4667
City
Shrewsbury
State
MA
Zip
01545-4667
Phone Number
508-918-0162

License Information

License Number
LICSW1130506
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elias S Champi Tello, LICSW?

The NPI number of Elias S Champi Tello, LICSW is 1992223234. It was assigned on September 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Elias S Champi Tello, LICSW?

Elias S Champi Tello, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1130506.

Where does Elias S Champi Tello, LICSW practice?

The practice location is 112 Hartford Tpke, Shrewsbury, MA 01545-4667. The office can be reached at 508-918-0162 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992223234 directly on the NPPES registry website.

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