Evolving Licensed Clinical Social Work, PLLC
NPI 1164200614 · Clinical Social Worker · Elmira, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evolving Licensed Clinical Social Work, PLLC is a Clinical Social Worker organization in Elmira, NY (NPI 1164200614).
Provider details
- NPI number
- 1164200614
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Holly Mccormick, Licensed Clinical Social Worker(607) 398-0631
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Evolving Licensed Clinical Social Work, PLLC's NPI number?
- Evolving Licensed Clinical Social Work, PLLC's National Provider Identifier (NPI) is 1164200614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evolving Licensed Clinical Social Work, PLLC?
- Evolving Licensed Clinical Social Work, PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Evolving Licensed Clinical Social Work, PLLC located?
- Evolving Licensed Clinical Social Work, PLLC's practice location on file with NPPES is 227 W Water St Ste 256, Elmira, NY 14901-2912.
- What is Evolving Licensed Clinical Social Work, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evolving Licensed Clinical Social Work, PLLC is (607) 398-0631.
- Does Evolving Licensed Clinical Social Work, PLLC accept Medicare?
- Evolving Licensed Clinical Social Work, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evolving Licensed Clinical Social Work, PLLC?
- The authorized official listed on Evolving Licensed Clinical Social Work, PLLC's NPPES record is Holly Mccormick, Licensed Clinical Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evolving Licensed Clinical Social Work, PLLC's NPI active?
- Yes — Evolving Licensed Clinical Social Work, PLLC's NPI (1164200614) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.