NICOLE D WAGNER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028091

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

WAGNER

Business Name

NICOLE D WAGNER

Original Issue Date

11/04/2024

Effective Date

11/03/2025

Expiration Date

11/30/2027

City

TARRYTOWN

State

Zip

10591

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/03/2025