| Nino Makharadze Ortiz, LCSW | |
|
3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 | |
| (718) 504-9256 | |
| Not Available |
| Full Name | Nino Makharadze Ortiz |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3635 Bell Blvd Ste 203, Bayside, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275244196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 094329 (New York) | Primary |
| Entity Name | Comprehensive Counseling Lcsw Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982798773 PECOS PAC ID: 3870754427 Enrollment ID: O20120409000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Nino Makharadze Ortiz, LCSW 2600 Netherland Ave Apt 2117, Bronx, NY 10463-1095 Ph: (164) 698-1749 | Nino Makharadze Ortiz, LCSW 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 Ph: (718) 504-9256 |
Luis A Villanueva, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3635 Bell Blvd Ste 203, Bayside, NY 11361 Phone: 718-504-9256 | |
Dr. Rosie Rodriguez, SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21512 47th Ave, Bayside, NY 11361 Phone: 718-224-3045 | |
Giulia Fagan, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3909 214th Pl, Bayside, NY 11361 Phone: 718-229-5757 | |
Eileen Carol Travis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21704 Northern Blvd, Bayside, NY 11361 Phone: 718-423-7371 Fax: 212-382-6769 | |
Carmen Mezarina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21111 Northern Blvd Bay Bayside, Bayside, NY 11361 Phone: 347-358-1914 | |
Mrs. Lynn C. Moses, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Fort Totten, Building 413, Bayside, NY 11359 Phone: 718-352-2140 Fax: 718-352-2491 | |
Richard Wallace Koffler, CASAC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1666 Bell Blvd Apt 724, Bayside, NY 11360 Phone: 917-597-5592 Fax: 718-428-2705 |