Healthcare Provider Details

I. General information

NPI: 1720871361
Provider Name (Legal Business Name): HILARY A LAWTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILARY A WILSON

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 N RUTLEDGE ST STE 1100
SPRINGFIELD IL
62702-4968
US

IV. Provider business mailing address

PO BOX 19639
SPRINGFIELD IL
62794-9639
US

V. Phone/Fax

Practice location:
  • Phone: 217-545-8000
  • Fax: 217-545-4735
Mailing address:
  • Phone: 217-545-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.025791
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: