Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NINO MAKHARADZE ORTIZ LCSW
NPI 1275244196
Social Worker - Clinical in Bayside, NY

Q: What is Nino Makharadze Ortiz's NPI number?

The NPI number for Nino Makharadze Ortiz is 1275244196. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Q: What is Nino Makharadze Ortiz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since December 12, 2022PECOS Enrolled

3635 BELL BLVD STE 203, BAYSIDE, NY 11361(718) 504-9256 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Dec 12, 2022 (2 updates tracked since 2022).

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About Nino Makharadze Ortiz Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINO MAKHARADZE ORTIZ LCSW (NPI 1275244196) is an individual clinical provider in Bayside, New York, licensed in New York (094329) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275244196

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNINO MAKHARADZE ORTIZCredential: LCSW

Location Address3635 BELL BLVD STE 203Bayside, NY 11361-2097

Mailing Address2600 Netherland Ave Apt 2117Bronx, NY 10463-1095 · (164) 698-1749

Phone(718) 504-9256

Sole ProprietorYes

Enumeration DateDecember 12, 2022

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1275244196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 094329

Definition

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.

3635 BELL BLVD STE 203, Bayside, NY 11361

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nino Makharadze Ortiz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.00 – $201.98

Typical copayment $0.00 (range $16.75 – $50.49)

Most-billed visit code NA

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUIS A VILLANUEVA

Social Worker (Clinical)