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

Amy Marie Gustafson

Individual provider Clinical Social Worker · NPI 1770301368

Amy Marie Gustafson is a Clinical Social Worker in Rockford, Illinois. Qualified in 2021, 5 years ago. Practices with Elizabeth Lawson LCSW PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

4320 Spring Creek Rd Ste 15
Rockford, IL 61107-1157
Phone: (815) 914-0047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149027733 (IL)

Record details

NPI number1770301368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Elizabeth Lawson Lcsw Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockford