So, Timmy J.K.

So, Timmy J.K. is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3098. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. So, Timmy J.K. can be contacted via phone (716) 898-4560.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3098
Phone: (716) 898-4560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 083303 New York
Behavioral Health & Social Service Providers / Counseling 103TC1900X 083303 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086100 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 083303 New York

Profile Details

NPI number 1174806442
LBN Legal business name So, Timmy J.K.
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2011
Last updated Jul 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174806442 NPPES
New York MEDICAID 00932467

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