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LISA SIMONE CLEARY LCSW
NPI 1669184966
Social Worker - Clinical in Prescott, AZ

Active since December 19, 2022PECOS Enrolled
550 S MONTEZUMA ST STE A, PRESCOTT, AZ 86303(404) 590-2029 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Jan 6, 2025, Dec 19, 2022 (3 updates tracked since 2022).

About Lisa Simone Cleary Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SIMONE CLEARY LCSW (NPI 1669184966) is an individual clinical provider in Prescott, Arizona, licensed in Arizona (LCSW-22970) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669184966
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA SIMONE CLEARYCredential: LCSW
Location Address550 S MONTEZUMA ST STE APrescott, AZ 86303-4200
Mailing Address3050 Windsor DrPrescott, AZ 86301-4862 · (404) 590-2039
Phone(404) 590-2029
Sole ProprietorNo
Enumeration DateDecember 19, 2022
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1669184966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in AZ · LCSW-22970✔ Licensed in GA · CSW009286
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
550 S MONTEZUMA ST STE A, Prescott, AZ 86303
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Other Names 1

Former Name (1)Lisa Simone Bourque

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Simone Cleary Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH BAKER LCSW
Social Worker (Clinical)
550 S MONTEZUMA ST STE A
PRESCOTT, AZ 86303
Yavapai County (928) 925-0093
WILLOW INTEGRATION LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
550 S MONTEZUMA ST STE A
PRESCOTT, AZ 86303
Yavapai County (404) 590-2039
SARAH MCGLYNN-MOORE LLC
Social Worker (Clinical)
550 S MONTEZUMA ST STE A
PRESCOTT, AZ 86303
Yavapai County (928) 925-0093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Cleary's NPI number?

The NPI number for Lisa Cleary is 1669184966. It was assigned to this individual provider in the NPPES registry on December 19, 2022. The provider is also known as Lisa Simone Bourque.

Where is Lisa Cleary located?

Lisa Cleary practices at 550 S Montezuma St Ste A, Prescott, AZ 86303. The listed phone number is (404) 590-2029.

What is Lisa Cleary's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Cleary enrolled in Medicare?

Yes. Lisa Cleary is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Cleary accept?

Health plans from UnitedHealthcare list Lisa Cleary as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Cleary was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.