Provider Demographics
NPI:1851170401
Name:ELIZABETH LAWSON LCSW PLLC
Entity Type:Organization
Organization Name:ELIZABETH LAWSON LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-978-7705
Mailing Address - Street 1:4320 SPRING CREEK RD STE 16
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-1157
Mailing Address - Country:US
Mailing Address - Phone:815-978-7705
Mailing Address - Fax:815-345-3624
Practice Address - Street 1:4320 SPRING CREEK RD STE 16
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-1157
Practice Address - Country:US
Practice Address - Phone:815-978-7705
Practice Address - Fax:815-345-3624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty