Active NPI
Jaclyn Hope Ferber Calonne, LCSW
- Clinical Social Worker
- Palm Springs, CA
National Provider Identifier
1366794851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76978
- Practice address
- 333 S Farrell Dr
Palm Springs, CA 92262-7905 - Phone
- (760) 600-6042
- NPI assigned
- Oct 8, 2012
- Last updated
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76978 | CA | Primary |
| Mental Health Counselor | 101YM0800X | ASW#33991 | CA | |
| Social Worker | 104100000X | ASW 33991 | CA |
Addresses
Primary practice location
333 S Farrell Dr
Palm Springs, CA 92262-7905
Mailing address
20344 Hiawatha St
Chatsworth, CA 91311-2565
Phone (818) 585-3475
Other names 1
- Jaclyn Hope Ferber
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 |
|---|---|---|---|
| ASW#33991 | CA | MD | Mental Health Counselor |
| ASW 33991 | CA | MD | Social Worker |
| 76978 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1366794851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20344 HIAWATHA ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913112565",
"telephone_number": "818-585-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S FARRELL DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627905",
"telephone_number": "760-600-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERBER CALONNE",
"first_name": "JACLYN",
"middle_name": "HOPE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76978",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW#33991",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 33991",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "FERBER",
"middle_name": "HOPE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.