Individual provider · Type 1 NPI

Nino Makharadze Ortiz, LCSW

Clinical Social Worker · Bayside, NY

NPI number 1275244196 Active

Practice location

3635 Bell Blvd Ste 203
Bayside, NY 11361-2097

Call (718) 504-9256 Map

Mailing address

2600 Netherland Ave Apt 2117
Bronx, NY 10463-1095

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X094329 (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 1275244196

Nino Makharadze Ortiz, LCSW's National Provider Identifier is 1275244196, issued on Dec 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayside, NY. The record was last updated on Jul 9, 2026.