EVOLVING LICENSED CLINICAL SOCIAL WORK, PLLC
NPI 1164200614
Social Worker - Clinical in Elmira, NY

Active since September 18, 2023
227 W WATER ST STE 256, ELMIRA, NY 14901(607) 398-0631 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evolving Licensed Clinical Social Work, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLVING LICENSED CLINICAL SOCIAL WORK, PLLC (NPI 1164200614) is a healthcare organization registered as a clinical in Elmira, New York and active in the NPI registry since September 2023. The organization lists Holly J Mccormick, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1164200614
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEVOLVING LICENSED CLINICAL SOCIAL WORK, PLLC
Location Address227 W WATER ST STE 256Elmira, NY 14901-2912
Mailing Address427 Herrick StElmira, NY 14904-1614 · (607) 398-0631
Organization SubpartNo
Authorized OfficialHolly J MccormickLicensed Clinical Social Worker · (607) 398-0631
Enumeration DateSeptember 18, 2023
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1164200614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
227 W WATER ST STE 256, Elmira, NY 14901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolving Licensed Clinical Social Work, PLLC's NPI number?

The NPI number for Evolving Licensed Clinical Social Work, PLLC is 1164200614. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Evolving Licensed Clinical Social Work, PLLC located?

Evolving Licensed Clinical Social Work, PLLC is located at 227 W Water St Ste 256, Elmira, NY 14901. The listed phone number is (607) 398-0631.

What is Evolving Licensed Clinical Social Work, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Evolving Licensed Clinical Social Work, PLLC was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.