SAMANTHA JO SMITH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022912

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

SMITH

Business Name

SAMANTHA JO SMITH

Original Issue Date

01/14/2021

Effective Date

11/14/2025

Expiration Date

11/30/2027

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/14/2025