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

Mr. Timmy J.k. So, LCSW-R

Individual provider Counselor · NPI 1174806442

Mr. Timmy J.k. So, LCSW-R is a Counselor in Buffalo, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
6
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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3098
Phone: (716) 898-4560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 083303 (NY)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 083303 (NY)
Counseling Psychologist Taxonomy 103TC1900X · Licence 083303 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 086100 (NY)

Record details

NPI number1174806442
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedSeptember 23, 2011
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

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