Individual
LISA MARIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
197 E FRY BLVD, SIERRA VISTA, AZ 85635-1847
(520) 508-9586
Mailing address
197 E FRY BLVD, SIERRA VISTA, AZ 85635-1847
(520) 508-9586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09926016
CO
1041C0700X
Clinical Social Worker
Primary
LCSW-22273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13823
LOUSIANA STATE BOARD OF SOCIAL WORK EXAMINERS LMSW
LA
01
—
CSW.09926016
LICENSED CLINICAL SOCIAL WORKER
CO
Enumeration date
12/17/2018
Last updated
11/24/2025
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