1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Social Worker
  6. NPI Profile

BRIDGE BACK TO LIFE CENTER, INC.
NPI 1336566694
Social Worker - Clinical in Brooklyn, NY

Active since March 25, 2014
175 REMSEN ST, SUITE 1010, BROOKLYN, NY 11201(718) 852-5552(718) 852-5666 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bridge Back To Life Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE BACK TO LIFE CENTER, INC. (NPI 1336566694) is a healthcare organization registered as a clinical in Brooklyn, New York and active in the NPI registry since March 2014. The organization lists Gary Butchen, President, as its authorized official.

NPPES Registry Identity

NPI1336566694
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRIDGE BACK TO LIFE CENTER, INC.
Location Address175 REMSEN ST, SUITE 1010Brooklyn, NY 11201-4333
Mailing Address4271 Hempstead TpkeBethpage, NY 11714-5708 · (516) 520-6600 · Fax (516) 520-6750
Phone(718) 852-5552
Fax(718) 852-5666
Organization SubpartNo
Authorized OfficialGary ButchenPresident · (516) 520-6600
Enumeration DateMarch 25, 2014
Last NPPES UpdateNovember 7, 2018
✔ NPI 1336566694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 141211343
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 141211343 (NY)
175 REMSEN ST, Brooklyn, NY 11201
Open in Google Maps ↗

Other Identifiers 1

Medicaid01439087NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE ARMANDO
Counselor (Mental Health)
175 REMSEN ST
BROOKLYN, NY 11201
Kings County (718) 342-6700
FRANK DIGIOVANNI
Contractor
175 REMSEN ST
BROOKLYN, NY 11201
Kings County (718) 522-7300
BERNADETTE N JACKSON LMSW
Social Worker (Clinical)
175 REMSEN ST, SUITE 625
BROOKLYN, NY 11201
Kings County (718) 858-4050
MS. KIMBERLY PATRICE SHARPE MHC-LP
Counselor (Addiction (Substance Use Disorder))
175 REMSEN ST
BROOKLYN, NY 11201
Kings County (718) 858-4050
LAUREN MENACHE
Social Worker (Clinical)
175 REMSEN ST
BROOKLYN, NY 11201
Kings County (212) 273-6182
GERALD LEROY SMALLS JR.
Counselor (Addiction (Substance Use Disorder))
175 REMSEN ST
BROOKLYN, NY 11201
Kings County (914) 539-1275
MS. MELISSA ROOPNARINE
Counselor (Addiction (Substance Use Disorder))
175 REMSEN ST
BROOKLYN, NY 11201
Kings County (718) 858-4050
WEKESA KING' ASIA M.D.
Internal Medicine
175 REMSEN ST, SUITE 1225
BROOKLYN, NY 11201
Kings County (718) 222-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Back To Life Center, Inc.'s NPI number?

The NPI number for Bridge Back To Life Center, Inc. is 1336566694. It was assigned to this organization in the NPPES registry on March 25, 2014.

Where is Bridge Back To Life Center, Inc. located?

Bridge Back To Life Center, Inc. is located at 175 Remsen St Suite 1010, Brooklyn, NY 11201. The listed phone number is (718) 852-5552.

What is Bridge Back To Life Center, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bridge Back To Life Center, Inc. was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.