Professional License Information by State

State of New Jersey

LIcense: Licensed Clinical Social Worker (certified clinical supervisor)

Entity: New Jersey State Board of SocialWork Examiner

License Number: 44SC05232900

Issue Date: 5/5/2004

Expiration Date: 8/31/2022

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State of Louisiana

LIcense: Licensed Clinical Social Worker - BACS (Board Approved Clinical Social Worker)

Entity: Louisiana State Board of SocialWork Examiner

License Number: 14256

Issue Date: 4/21/2017

Expiration Date: 8/31/2022

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State of Florida

LIcense: Licensed Clinical Social Worker (Qualified Supervisor for Social Work and Marriage and Family Therapy)

Entity: Florida Department of Health

License Number: SW11081

Issue Date: 10/23/2012

Expiration Date: 3/31/2023

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State of Vermont

LIcense: Licensed Independent Clinical Social Worker

Entity: Vermont Department of Health

License Number: 089.0001035

First Issue Date: August 02, 2004

Expiration Date: January 31, 2024

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