BRICE CAMPBELL BLOOM-ELLIS Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010312

License Status

ACTIVE

Business

First Name

BRICE

Middle

CAMPBELL

Last Name

BLOOM-ELLIS

Business Name

BRICE CAMPBELL BLOOM-ELLIS

Original Issue Date

11/01/2002

Effective Date

10/28/2025

Expiration Date

11/30/2027

City

ST LOUIS

State

Zip

63116

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2025