License Verification

Printer Friendly Version

SAMUEL ROBERT MYRICK

License Number: SW17232

Data As Of 9/13/2026

Profession
Licensed Clinical Social Worker
License
SW17232
License Status
Clear/Active
Qualifications
Qualified Supervisor CSW
License Expiration Date
3/31/2027
License Original Issue Date
04/23/2020
Address of Record
123 W Hollywood St
TAMPA, FL 33604
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
JOHNSON, STEPHAN DEVANTE Subordinate Clinical Social Worker Intern 16674 11/28/2023
KAMAL, DOREEN NADIA Subordinate Clinical Social Worker Intern 18470 11/8/2023
OLEON, OLIVIA CATHERINE Subordinate Clinical Social Worker Intern 22349 8/15/2025
PACK, SHANTASIA Subordinate Clinical Social Worker Intern 21664 1/28/2026

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 9/13/2026



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.