BRIDGE BACK TO LIFE CENTER, INC.
NPI 1265859078
Social Worker - Clinical in Bethpage, NY
NPI Status: Active since March 19, 2014
Contact Information
4271 HEMPSTEAD TPKE
BETHPAGE, NY
ZIP 11714
Phone: (516) 520-6600
Fax: (212) 520-6750
- Organization
- Social Worker
- Clinical
About BRIDGE BACK TO LIFE CENTER, INC.
This page provides the complete NPI Profile along with additional information for Bridge Back To Life Center, Inc., a provider established in Bethpage, New York operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1265859078 assigned on March 2014. The practitioner's primary taxonomy code is 1041C0700X with license number 160310678 (NY). The provider is registered as an organization and their NPI record was last updated 7 years ago. Bridge Back To Life Center, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Gary Butchen Lcsw-r, Sap (President)
- NPI
- 1265859078
- Provider Name
- BRIDGE BACK TO LIFE CENTER, INC.
- Entity Type
- Organization
- Location Address
- 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714
- Location Phone
- (516) 520-6600
- Location Fax
- (212) 520-6750
- Mailing Address
- 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714
- Mailing Phone
- (516) 520-6600
- Mailing Fax
- (212) 520-6750
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2014
- Last Update Date
- 11-07-2018
- Code Navigator
A clinical social worker like Bridge Back To Life Center, Inc. is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 160310678
- License State
- NY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WA0400X | Nursing Service Providers | Registered Nurse | 160310678 (NY) |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01439087 | MEDICAID (05) | NY |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 5 | 9 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 5 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 5 + 1 + 8 + 0 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1265859078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659316826 | DR. IRINA V SHPAK MD Individual | Internal Medicine (Critical Care Medicine) | 4271 HEMPSTEAD TPKE SUITE 1 BETHPAGE, NY 11714 (516) 796-3700 |
| 1710067996 | JOANNE DEVITT LPN, CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1801976014 | PAMELA GOLDSTEIN CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1376623595 | KATHLEEN HASAY CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1427138601 | KAREN BLACK LMSW Individual | Social Worker | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1093844243 | ISLAND PULMONARY ASSOCIATION PC Organization | Internal Medicine (Pulmonary Disease) | 4271 HEMPSTEAD TPKE SUITE 1 BETHPAGE, NY 11714 (516) 796-3700 |
| 1700082500 | DR. NIKOLAOS HATZIS M.D. Individual | Internal Medicine (Pulmonary Disease) | 4271 HEMPSTEAD TPKE SUITE 1 BETHPAGE, NY 11714 (516) 796-3700 |
| 1619130093 | MRS. DANIELLE L BARBIERI MSW Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1831355676 | DEAN R JOHNSON CASAC-T Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1700177466 | MR. JOHN CURRAN LMSW, CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1588902787 | MS. MAUREEN E DIMAGGIO CASAC T Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1053659292 | ROMAINE GORDON CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1194132175 | BRIDGE BACK TO LIFE INC Organization | Counselor (Mental Health) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1871979989 | CLAUDIA HUTCHINSON-STEWART CASAC-T Individual | Counselor (Addiction (Substance Use Disorder)) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1538526843 | WINTHROP COMMUNITY MEDICAL AFFILIATES PC Organization | Internal Medicine (Pulmonary Disease) | 4271 HEMPSTEAD TPKE SUITE 1 BETHPAGE, NY 11714 (516) 796-3700 |
| 1316497043 | MICHAEL WALTERS LMSW Individual | Social Worker (Clinical) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1154862662 | BREANNA FRED LMSW Individual | Social Worker | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1932560273 | MR. JASON MOSTON Individual | Social Worker (Clinical) | 4271 HEMPSTEAD TPKE BETHPAGE, NY 11714 (516) 520-6600 |
| 1730106352 | RICHARD E GORDON MD Individual | Internal Medicine (Pulmonary Disease) | 4271 HEMPSTEAD TPKE SUITE 1 BETHPAGE, NY 11714 (516) 796-3700 |
| 1225353691 | DR. VIKRAM CHABRA D.O. Individual | Internal Medicine (Pulmonary Disease) | 4271 HEMPSTEAD TPKE SUITE 1 BETHPAGE, NY 11714 (516) 796-3700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265859078, enumerated in the NPI registry as an "organization" on March 19, 2014
The provider is located at 4271 Hempstead Tpke Bethpage, Ny 11714 and the phone number is (516) 520-6600
This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 19, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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