Provider Demographics
NPI:1386848422
Name:WALKER ROSADO, NANCY (MFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:WALKER ROSADO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:WALKER
Other - Last Name:ROSADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:4709 CALHOUN AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2304
Mailing Address - Country:US
Mailing Address - Phone:818-268-1692
Mailing Address - Fax:
Practice Address - Street 1:4709 CALHOUN AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2304
Practice Address - Country:US
Practice Address - Phone:818-268-1692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT385271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical