AMY BLACK-WELLER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022647

License Status

ACTIVE

Business

First Name

AMY

Last Name

BLACK-WELLER

Business Name

AMY BLACK-WELLER

Original Issue Date

10/14/2020

Effective Date

10/04/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/04/2025