ANNE M SHACKELFORD Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011854

License Status

ACTIVE

Business

First Name

ANNE

Middle

Last Name

SHACKELFORD

Business Name

ANNE M SHACKELFORD

Original Issue Date

03/20/2006

Effective Date

11/03/2025

Expiration Date

11/30/2027

City

NEW YORK

State

Zip

10005

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/03/2025