PATRICIA J BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000722

License Status

ACTIVE

Business

First Name

PATRICIA J

Last Name

BLACK

Business Name

PATRICIA J BLACK

Original Issue Date

10/07/1989

Effective Date

10/10/2025

Expiration Date

11/30/2027

City

WOODBURY

State

Zip

55129

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/10/2025