OCTAVIA TA'NISHA SCOTT Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027069

License Status

ACTIVE

Business

First Name

OCTAVIA

Middle

TA'NISHA

Last Name

SCOTT

Business Name

OCTAVIA TA'NISHA SCOTT

Original Issue Date

04/22/2024

Effective Date

10/10/2025

Expiration Date

11/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/10/2025