Organization · Type 2 NPI
Evolving Licensed Clinical Social Work, PLLC
Clinical Social Worker · Elmira, NY
Practice location
227 W Water St Ste 256
Elmira, NY 14901-2912
Mailing address
427 Herrick St
Elmira, NY 14904-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: 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 interpers…
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About NPI 1164200614
Evolving Licensed Clinical Social Work, PLLC's National Provider Identifier is 1164200614, issued on Sep 18, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmira, NY. The record was last updated on Nov 19, 2025.