TARA J NIEMUTH Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149023793

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

NIEMUTH

Business Name

TARA J NIEMUTH

Original Issue Date

09/21/2021

Effective Date

11/06/2025

Expiration Date

11/30/2027

City

RACINE

State

Zip

53403

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/06/2025