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

Individual provider Clinical Social Worker · NPI 1275244196

Nino Makharadze Ortiz, LCSW is a Clinical Social Worker in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone: (718) 504-9256
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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 094329 (NY)

Record details

NPI number1275244196
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 12, 2022
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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