SAMANTHA M SHEPPARD Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028454

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

SHEPPARD

Business Name

SAMANTHA M SHEPPARD

Original Issue Date

12/12/2024

Effective Date

02/24/2026

Expiration Date

11/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/24/2026