Timothy Deeks, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

074896 Issued in NY

Practice address

5467 Upper Mountain Road
Suite 200
Lockport, NY 14094-1895

Phone

(716) 439-7410

Fax

(716) 439-7418

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396953816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN ROAD",
            "address_2": "SUITE 200",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941895",
            "telephone_number": "716-439-7410",
            "fax_number": "716-439-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN ROAD",
            "address_2": "SUITE 200",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941895",
            "telephone_number": "716-439-7410",
            "fax_number": "716-439-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEKS",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "074896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Lockport, NY
• Providers in Lockport, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.