Organization Active NPI

Nancy Peterson Walz, LCSW, P.C.

Doing business as NPW Counseling Services

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1639436991
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005637 Issued in IL
Legal business name
NANCY PETERSON WALZ, LCSW, P.C.
Doing business as
NPW Counseling Services
Practice address
7115 Virginia Rd
Suite 109
Crystal Lake, IL 60014-3112
Phone
(815) 382-7029
Fax
(815) 363-5584
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Nancy Peterson Walz, LCSWNPI 1861416687
Title
Owner/ Licensed Clinical Social Wor
Phone
(815) 382-7029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149005637 IL Primary

Addresses

Primary practice location

7115 Virginia Rd
Suite 109
Crystal Lake, IL 60014-3112

Mailing address

PO Box 742
Island Lake, IL 60042-0742
Phone (815) 382-7029

Other names 1

  • NPW Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

7115 Virginia Rd
Ste 109
Crystal Lake, IL 60014
Phone (815) 382-7029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1639436991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600420742",
            "telephone_number": "815-382-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD",
            "address_2": "SUITE 109",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143112",
            "telephone_number": "815-382-7029",
            "fax_number": "815-363-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY PETERSON WALZ, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON WALZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/ LICENSED CLINICAL SOCIAL WOR",
        "authorized_official_telephone_number": "815-382-7029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPW Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.