Individual provider Active NPI

Crystal Lawson, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1215794144
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026708 Issued in IL
Practice address
555 S Perryville Rd Ste 118
Rockford, IL 61108-2522
Phone
(608) 313-5442
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026708 IL Primary
Clinical Social Worker 1041C0700X 2077122 WI

Addresses

Primary practice location

555 S Perryville Rd Ste 118
Rockford, IL 61108-2522

Mailing address

6416 Palo Verde Dr
Rockford, IL 61114-8174
Phone (815) 315-2364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003814 IL Practitioner - Clinical Social Worker 4284172255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 S Perryville Rd
Suite 127
Rockford, IL 61108-2527
Phone (815) 706-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026708ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Causeway Counseling PLLC Clinical CurrentSince Mar 6, 2024 Accepting new patients

Locations

555 S Perryville Rd
Ste 127
Rockford, IL 61108

555 S Perryville Rd
Ste 118
Rockford, IL 61108
Phone (608) 313-5442

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1215794144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 PALO VERDE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148174",
            "telephone_number": "815-315-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 118",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082522",
            "telephone_number": "608-313-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026708",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2077122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.