ELIZABETH EVANGELISTA NICKERSON Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149019625

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

EVANGELISTA

Last Name

NICKERSON

Business Name

ELIZABETH EVANGELISTA NICKERSON

Original Issue Date

08/14/2017

Effective Date

11/30/2025

Expiration Date

11/30/2027

City

ALBUQUERQUE

State

Zip

87121

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/30/2025