STACEY LYNN FREDERICKS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025334

License Status

ACTIVE

Business

First Name

STACEY

Middle

LYNN

Last Name

FREDERICKS

Business Name

STACEY LYNN FREDERICKS

Original Issue Date

02/22/2023

Effective Date

11/06/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/06/2025