Active NPI
Nino Makharadze Ortiz, LCSW
- Clinical Social Worker
- Bayside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 094329
- Practice address
- 3635 Bell Blvd Ste 203
Bayside, NY 11361-2097 - Phone
- (718) 504-9256
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 094329 | NY | Primary |
Addresses
Primary practice location
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Mailing address
2600 Netherland Ave Apt 2117
Bronx, NY 10463-1095
Phone (164) 698-1749
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A | ||
| CONNECT URL | nmakharadze@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Clinical | Current | Accepting new patients |
Locations
2 Main St
Ste 2A
Plymouth, MA 02360
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256
1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531
57 W 57th St
Frnt 3
New York, NY 10019
98120 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (718) 268-9598
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Bayside, NY
- NPI 1982798773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1275244196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NETHERLAND AVE APT 2117",
"city": "BRONX",
"state": "NY",
"postal_code": "104631095",
"telephone_number": "164-698-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 BELL BLVD STE 203",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612097",
"telephone_number": "718-504-9256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKHARADZE ORTIZ",
"first_name": "NINO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "094329",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "2600 Netherland Ave Apt 910",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104632098",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nmakharadze@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "New York",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "10010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.