Individual
LISA SIMONE CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
550 S MONTEZUMA ST STE A, PRESCOTT, AZ 86303-4200
(404) 590-2029
Mailing address
3050 WINDSOR DR, PRESCOTT, AZ 86301-4862
(404) 590-2039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW009286
GA
1041C0700X
Clinical Social Worker
Primary
LCSW-22970
AZ
Other
Enumeration date
12/19/2022
Last updated
04/22/2026
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