Mr Timmy Jk So, LCSW-R is a
Social Worker based in Buffalo, New York. Mr Timmy Jk So is licensed to practice in New York (license number 083303) and his current practice location is
462 Grider St, Buffalo, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 898-4560.
NPI number for Mr Timmy Jk So is 1174806442 and his current mailing address is 1001 11th St., Northpointe Council, Inc, Niagra Falls, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174806442.
Healthcare Provider's Profile
| Full Name | Mr Timmy Jk So |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 462 Grider St, Buffalo, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174806442
- Provider Enumeration Date: 09/23/2011
- Last Update Date: 07/08/2021
Medical Identifiers
Medical identifiers for Mr Timmy Jk So such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174806442 | NPI | - | NPPES |
| 00932467 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 083303 (New York) | Secondary |
| 103TC1900X | Psychologist - Counseling | 083303 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 086100 (New York) | Secondary |
| 104100000X | Social Worker | 083303 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timmy Jk So is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Timmy Jk So, LCSW-R
1001 11th St., Northpointe Council, Inc,
Niagra Falls, NY 14301
Ph: () - | Mr Timmy Jk So, LCSW-R
462 Grider St,
Buffalo, NY 14215-3098
Ph: (716) 898-4560 |
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