Individual provider Active NPI

Saige Ferko, ACSW 124955

  • Social Worker
  • San Jose, CA
National Provider Identifier
1497581672
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
124955 Issued in CA
Practice address
4100 Moorpark Ave Ste 120
San Jose, CA 95117-1707
Phone
(408) 320-5960
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 124955 CA Primary

Addresses

Primary practice location

4100 Moorpark Ave Ste 120
San Jose, CA 95117-1707

Mailing address

600 Pepper Dr
San Bruno, CA 94066-2934
Phone (650) 534-7146

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

LicenseStateTypeSpecialty
124955CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1497581672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PEPPER DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662934",
            "telephone_number": "650-534-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MOORPARK AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171707",
            "telephone_number": "408-320-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERKO",
        "first_name": "SAIGE",
        "credential": "ACSW 124955",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "124955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.