MEDICARE: JUNE CAMPBELL-VANREMMEN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	R045342-1	NY
2	1041C0700X	Clinical Social Worker	R045342-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00020374802	OTHER	NY	UNIVERA HEALTH
2	000525457004	OTHER	NY	BLUE CROSS/BLUE SHIELD
3	6210970	OTHER	NY	INDEPENDENT HEALTH
4	137910	OTHER	NY	VALUE OPTIONS

General Provider Information

NPI Number	:	1699764076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE CAMPBELL-VANREMMEN LCSW

Provider Business Mailing Address
First Line	:	4184 SENECA ST
Second Line	:	SUITE 208
City	:	WEST SENECA
State	:	NY
Zip	:	14224-3051
Country	:	US
Telephone Number	:	716-675-4962
Fax Number	:	716-675-4978

Provider Business Practice Location Address
First Line	:	4184 SENECA ST
Second Line	:	SUITE 208
City	:	WEST SENECA
State	:	NY
Zip	:	14224-3051
Country	:	US
Telephone Number	:	716-675-4962
Fax Number	:	716-675-4978

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	09/11/2025

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Directions to “ JUNE CAMPBELL-VANREMMEN LCSW” Practice Location

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