Provider Demographics
NPI:1285223511
Name:ARTH BOCCIO, CAMILLE LAUREN (LCSW)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:LAUREN
Last Name:ARTH BOCCIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:LAUREN
Other - Last Name:ARTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:730 OLEAN RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-9781
Mailing Address - Country:US
Mailing Address - Phone:716-240-2220
Mailing Address - Fax:
Practice Address - Street 1:730 OLEAN RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-9781
Practice Address - Country:US
Practice Address - Phone:716-240-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102729104100000X, 171M00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator