MEDICARE: NANCY PETERSON WALZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149005637	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01633897	OTHER	IL	BCBS GROUP PROVIDER NUMBE

General Provider Information

NPI Number	:	1861416687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY PETERSON WALZ LCSW

Provider Business Mailing Address
First Line	:	3908 CEDAR CREEK DR
Second Line	:
City	:	JOHNSBURG
State	:	IL
Zip	:	60051
Country	:	US
Telephone Number	:	815-276-2394
Fax Number	:	815-363-5584

Provider Business Practice Location Address
First Line	:	2502 SPRING RIDGE DR
Second Line	:	STE F
City	:	SPRING GROVE
State	:	IL
Zip	:	60081-7812
Country	:	US
Telephone Number	:	815-382-7029
Fax Number	:	815-363-5584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/27/2016

Similar Medicare Providers

1134389877 — CHERYL WILMER RNFA
Practice Location Address:

7812 SPOUT SPRING RD
FREDERICK, MD
21702-2834

Practice Phone: 301-788-2284
Practice Fax: 240-668-5612

1235751116 — STEVEN CHARLES SNYDER
Practice Location Address:

119 BOYD HOLLOW LN
SPRING MILLS, PA
16875-7812

Practice Phone: 814-422-8800
Practice Fax:

1619743994 — HOPE FAITH & LOVE COUNSELING
Practice Location Address:

8956 E STATE HIGHWAY 76
REEDS SPRING, MO
65737-7812

Practice Phone: 417-230-5814
Practice Fax: 417-246-2069

1003849647 — SPRING GROVE FIRE PROTECTION
Practice Location Address:

8214 RICHARDSON RD
SPRING GROVE, IL
60081-9429

Practice Phone: 815-675-2450
Practice Fax: 815-675-6284

1245256338 — MRS. NATALIE J FROBISH DC
Practice Location Address:

2900 N. US HIGHWAY 12 , SUITE J
SPRING GROVE, IL
60081-8322

Practice Phone: 815-675-0699
Practice Fax: 815-675-0689

1053331744 — MS. CATHY LYNN MCCOY L.M.T.
Practice Location Address:

2726 RABBIT CT
SPRING GROVE, IL
60081-8711

Practice Phone: 847-690-6179
Practice Fax: 847-549-6920

Directions to “ NANCY PETERSON WALZ LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.