MALLORY MEGHAN BASTIN Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027235

License Status

ACTIVE

Business

First Name

MALLORY

Middle

MEGHAN

Last Name

BASTIN

Business Name

MALLORY MEGHAN BASTIN

Original Issue Date

05/22/2024

Effective Date

11/20/2025

Expiration Date

11/30/2027

City

LINCOLN

State

Zip

68516

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/20/2025