License Verification

Printer Friendly Version

MATTHEW JAMES DORN

License Number: ISW21273

Data As Of 9/13/2026

Profession
Registered Clinical Social Worker Intern
License
ISW21273
License Status
Clear/Active
License Expiration Date
11/17/2029
License Original Issue Date
11/18/2024
Address of Record
2503 Regal River Rd
VALRICO, FL 33596
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
MEDINA, MICHELLE KAY Supervisor Licensed Clinical Social Worke 7974 11/18/2024

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

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.