| Evolving Licensed Clinical Social Work | |
|
227 W Water St Ste 211 Elmira NY 14901-2912 | |
| (607) 398-0631 | |
| Not Available |
| Full Name | Evolving Licensed Clinical Social Work |
|---|---|
| Speciality | Social Worker |
| Location | 227 W Water St Ste 211, Elmira, New York |
| Authorized Official Name and Position | Holly J Mccormick (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6073980631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Licensed Clinical Social Work 427 Herrick St Elmira NY 14904-1614 Ph: (607) 398-0631 | Evolving Licensed Clinical Social Work 227 W Water St Ste 211 Elmira NY 14901-2912 Ph: (607) 398-0631 |
| NPI Number | 1164200614 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/17/2023 |
| Medicare PECOS PAC ID | 2365963477 |
|---|---|
| Medicare Enrollment ID | O20250305002818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164200614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly J Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043254303 PECOS PAC ID: 9335146521 Enrollment ID: I20061101000089 |
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