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VAKHTANG VARDOSHVILI
NPI 1366314189
Case Manager/Care Coordinator in Brooklyn, NY

Active since September 22, 2025
704 AVENUE X, BROOKLYN, NY 11235(718) 676-6116 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vakhtang Vardoshvili NPPES

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

VAKHTANG VARDOSHVILI (NPI 1366314189) is an individual case manager/care coordinator provider in Brooklyn, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1366314189
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameVAKHTANG VARDOSHVILI
Location Address704 AVENUE XBrooklyn, NY 11235-6121
Mailing Address704 Avenue XBrooklyn, NY 11235-6121 · (718) 676-6116
Phone(718) 676-6116
Sole ProprietorNo
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1366314189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
704 AVENUE X, Brooklyn, NY 11235
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Other Providers at the Same Location NPPES 9

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

HIGHER SUCCESS CORP
Early Intervention Provider Agency
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
GULNAZ POLUBAROVA MS
Specialist
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
SVETLANA HILOWITZ
Case Manager/Care Coordinator
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
OLGA ZHADAN
Psychologist (School)
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
NATALIA R BARRON
Specialist
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
ANNA MARTSENYUK
Specialist
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
SHAKHZODA TILAVOVA
Case Manager/Care Coordinator
704 AVENUE X
BROOKLYN, NY 11235
Kings County (718) 676-6116
YUNATA CORP
Early Intervention Provider Agency
704 AVENUE X
BROOKLYN, NY 11235
Kings County (347) 251-8932

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vakhtang Vardoshvili's NPI number?

The NPI number for Vakhtang Vardoshvili is 1366314189. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Vakhtang Vardoshvili located?

Vakhtang Vardoshvili practices at 704 Avenue X, Brooklyn, NY 11235. The listed phone number is (718) 676-6116.

What is Vakhtang Vardoshvili's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Vakhtang Vardoshvili was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.