AMY GROOS WILDER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149025882

License Status

ACTIVE

Business

First Name

AMY

Middle

GROOS

Last Name

WILDER

Business Name

AMY GROOS WILDER

Original Issue Date

09/09/2023

Effective Date

11/05/2025

Expiration Date

11/30/2027

City

BRONX

State

Zip

10463

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/05/2025