Active NPI
Nicholas Thomas Serro, LCSW
- Social Worker
- Boulder, CO
National Provider Identifier
1033999024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW.09930246
- Practice address
- 1650 38TH St Ste 100E
Boulder, CO 80301-2624 - Phone
- (720) 773-0686
- NPI assigned
- Oct 5, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW.09930246 | CO | Primary |
Addresses
Primary practice location
1650 38TH St Ste 100E
Boulder, CO 80301-2624
Mailing address
1650 38TH St Ste 100E
Boulder, CO 80301-2624
Phone (720) 593-1062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09930246 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1033999024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 38TH ST STE 100E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012624",
"telephone_number": "720-593-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 38TH ST STE 100E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012624",
"telephone_number": "720-773-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRO",
"first_name": "NICHOLAS",
"middle_name": "THOMAS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-05",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "CSW.09930246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.