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MR. TIMMY J.K. SO LCSW-R
NPI 1174806442
Social Worker in Buffalo, NY

Active since September 23, 2011
462 GRIDER ST, BUFFALO, NY 14215(716) 898-4560 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timmy J.k. So Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMMY J.K. SO LCSW-R (NPI 1174806442) is an individual social worker in Buffalo, New York, licensed in New York (083303) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1174806442
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. TIMMY J.K. SOCredential: LCSW-R
Location Address462 GRIDER STBuffalo, NY 14215-3098
Mailing Address1001 11th St., Northpointe Council, IncNiagra Falls, NY 14301
Phone(716) 898-4560
Sole ProprietorNo
Enumeration DateSeptember 23, 2011
Last NPPES UpdateJuly 8, 2021
NPPES CertifiedJuly 8, 2021
✔ NPI 1174806442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 083303
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 083303 (NY)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 083303 (NY)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 086100 (NY)
462 GRIDER ST, Buffalo, NY 14215
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Other Identifiers 1

Medicaid00932467NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
ALEXANDRA VAZQUEZ AGACNP
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timmy So's NPI number?

The NPI number for Timmy So is 1174806442. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Where is Timmy So located?

Timmy So practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-4560.

What is Timmy So's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Timmy So was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.