JACK M. JACOBSEN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149022749

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

JACOBSEN

Business Name

JACK M. JACOBSEN

Original Issue Date

11/14/2020

Effective Date

09/13/2025

Expiration Date

11/30/2027

City

SAINT LOUIS

State

Zip

63116

County

MISSOURI

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/13/2025