Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Edo George Vander Kooy, LCSW-R

Individual provider Clinical Social Worker · NPI 1689981417

Mr. Edo George Vander Kooy, LCSW-R is a Clinical Social Worker in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

79 University Ave
Buffalo, NY 14214-1224
Phone: (716) 838-1914
Fax: (716) 282-2184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R020068 (NY)

Record details

NPI number1689981417
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedAugust 31, 2010
Last updated in NPPESMarch 2, 2013

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