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 |
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Speciality | Social Worker - Clinical |
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 | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 09/18/2023 |
Certification Date | 09/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164200614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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