Nicholas Joseph Thorn-Sermeno, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76911 Issued in CA

Practice address

700 N Central Ave Ste 340
Glendale, CA 91203-4238

Phone

(818) 649-2921

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Endzone, a Marriage and Family Therapy Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, CA
  • NPI 1437831799
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1710106356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N CENTRAL AVE STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034238",
            "telephone_number": "818-649-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CENTRAL AVE STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034238",
            "telephone_number": "818-649-2921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91105",
            "country_code": "US",
            "telephone_number": "323-254-2274",
            "fax_number": "323-254-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORN-SERMENO",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW34151",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Louise Thomas
• Rachel Raya Thomasian, LMFT
• Christopher Thompson
• Michelle Marie Thompson, RDA
• Charles Wilfred Thoms IV, AMFT
• Marisa Thorne
• Three Wise Men, Inc.
• Three Wise Men, Inc.
• Thrifty Payless Inc
• Thrifty Payless Inc

• Clinical Social Worker in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.

Verify at the official NPI Registry.