Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridge Back to Life Center, Inc

Organization Clinical Social Worker · NPI 1184041998

Bridge Back to Life Center, Inc is a Clinical Social Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3044 Coney Island Ave 3rd Fl
Brooklyn, NY 11235-5660
Phone: (718) 265-4200
Fax: (718) 265-8536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 141111254 (NY)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 141111254 (NY)

Record details

NPI number1184041998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Butchen — President · (516) 520-6600
NPI enumeratedMarch 19, 2014
Last updated in NPPESNovember 7, 2018
Mailing address4271 Hempstead Tpke, Bethpage, NY 11714-5708

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