Organization · Type 2 NPI

Bridge Back To Life Center, Inc.

Clinical Social Worker · Brooklyn, NY

NPI number 1184041998 Active

Practice location

3044 Coney Island Ave, 3rd Floor
Brooklyn, NY 11235-5660

Call (718) 265-4200 Map

Fax (718) 265-8536

Mailing address

4271 Hempstead Tpke
Bethpage, NY 11714-5708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X141111254 (NY)
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X141111254 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1184041998

Bridge Back To Life Center, Inc.'s National Provider Identifier is 1184041998, issued on Mar 19, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 7, 2018.