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

Q: 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.

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: October 18, 2026.

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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

Phone(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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolving Licensed Clinical Social Work, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evolving Licensed Clinical Social Work, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Holly Mccormick, LCSW

Clinical Social Worker

NPI 1043254303

1019 E WATER ST
Elmira, NY 14901

(607) 733-5696

✔ PECOS0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Evolving Licensed Clinical Social Work, PLLC enrolled in Medicare?

Yes. Evolving Licensed Clinical Social Work, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolving Licensed Clinical Social Work, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Evolving Licensed Clinical Social Work, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.