Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nancy Walle, LMFT

Individual provider Marriage & Family Therapist · NPI 1982959110

Nancy Walle, LMFT is a Marriage and Family Therapist in Lakewood, California. Qualified in 2012, 14 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
14
Licensed in
CA, CO
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

4962 Fidler Ave
Lakewood, CA 90712-2702
Phone: (562) 658-7280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 102329 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 70949 (CO)

Record details

NPI number1982959110
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedJuly 13, 2012
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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