License Verification

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KATRINA A FORMAN

License Number: SW17881

Data As Of 9/13/2026

Profession
Licensed Clinical Social Worker
License
SW17881
License Status
Clear/Active
Qualifications
Qualified Supervisor CSW
License Expiration Date
3/31/2027
License Original Issue Date
12/03/2020
Address of Record
4302 HOLLYWOOD BLVD
#127
HOLLYWOOD, FL 33021
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
DIAZ, CLARA Subordinate Clinical Social Worker Intern 19510 5/22/2024
JOSEPH, BRENDA Subordinate Clinical Social Worker Intern 21962 6/4/2025
LAFFERTY, CAILEY Subordinate Clinical Social Worker Intern 20389 5/23/2024
LORMILSAINT, BEANNA Subordinate Clinical Social Worker Intern 21890 5/16/2025
LUNDY, FARREN Subordinate Clinical Social Worker Intern 17824 5/22/2024
PALOMINO DELGADO, DAYNIS Subordinate Clinical Social Worker Intern 18465 3/1/2023
PAULK, JUBRIELL C Subordinate Clinical Social Worker Intern 21141 10/10/2024

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.