National Provider Identifier
Timmy J.K. So, LCSW-R
Timmy J.K. So, LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 898-4560.
Profile Overview
- NPI
- 1174806442
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 23, 2011
- Last Updated
- July 08, 2021
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 898-4560
Mailing Address
- 1001 11Th St.
- Northpointe Council, Inc
- Niagra Falls, NY 14301
Specialties
- Social Worker (104100000X)
- Addiction (Substance Use Disorder) Psychologist (103TA0400X)
- Clinical Social Worker (1041C0700X)
- Counseling Psychologist (103TC1900X)
- Counselor (101Y00000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1174806442
- Entity Type
- Individual
- Last Name
- So
- First Name
- Timmy
- Middle Name
- J.K.
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 1001 11Th St.
- Mailing Address Line 2
- Northpointe Council, Inc
- Mailing City
- Niagra Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14301
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 898-4560
- Enumeration Date
- September 23, 2011
- Last Updated
- July 08, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Addiction (Substance Use Disorder) Psychologist (103TA0400X), Clinical Social Worker (1041C0700X), Counseling Psychologist (103TC1900X), Counselor (101Y00000X), Mental Health Counselor (101YM0800X)
- Other Identifiers
- 00932467 (NY)