Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evolving Licensed Clinical Social Work, PLLC

Organization Clinical Social Worker · NPI 1164200614

Evolving Licensed Clinical Social Work, PLLC is a Clinical Social Worker in Elmira, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

227 W Water St Ste 256
Elmira, NY 14901-2912
Phone: (607) 398-0631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164200614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly McCormick — Licensed Clinical Social Worker · (607) 398-0631
NPI enumeratedSeptember 18, 2023
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address427 Herrick St, Elmira, NY 14904-1614

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