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

Lisa Simone Cleary, LCSW

Individual provider Clinical Social Worker · NPI 1669184966

Lisa Simone Cleary, LCSW is a Clinical Social Worker in Prescott, Arizona. Qualified in 2021, 5 years ago. Licensed in Arizona and Georgia.

Years since qualifying
5
Licensed in
AZ, GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

550 S Montezuma St Ste A
Prescott, AZ 86303-4200
Phone: (404) 590-2029
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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 LCSW-22970 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW009286 (GA)

Record details

NPI number1669184966
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 19, 2022
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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