SAMANTHA L CLARK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018675

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

CLARK

Business Name

SAMANTHA L CLARK

Original Issue Date

07/20/2016

Effective Date

10/16/2025

Expiration Date

11/30/2027

City

ANAMOSA

State

Zip

52205

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/16/2025