NICOLE CHRISTINE CROCKETT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149024807

License Status

ACTIVE

Business

First Name

NICOLE

Middle

CHRISTINE

Last Name

CROCKETT

Business Name

NICOLE CHRISTINE CROCKETT

Original Issue Date

09/06/2022

Effective Date

11/10/2025

Expiration Date

11/30/2027

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/10/2025