SCADD (Credential# 1148698) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SCADD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054200. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 37 Camp Moween Rd, Lebanon, CT 06249-2704. The current status is active.
| Licensee Name | SCADD |
| Business Name | SCADD |
| Doing Business As | LEBANON PINES LONG TERM CARE FACILITY |
| Credential ID | 1148698 |
| Credential Number | CSP.0054200 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
37 Camp Moween Rd Lebanon CT 06249-2704 |
| Business Type | COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-02-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd · Acute Care and Evaluation Facility | 47 Coit St, New London, CT 06320-5924 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Street Address | 37 CAMP MOWEEN RD |
| City | LEBANON |
| State | CT |
| Zip Code | 06249-2704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd Lebanon Pines | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lebanon Pines Long Term Care | 37a Camp Moween Rd, Lebanon, CT 06249-2704 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Brett E Halen | 81 Camp Moween Rd, Lebanon, CT 06249-2704 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Richard W Backiel | 87 Camp Moween Rd, Lebanon, CT 06249-2704 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | LEBANON |
| Zip Code | 06249 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEBANON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd Outpatient | 932 Bank St, New London, CT 06320-2703 | Psychiatric Outpatient Clinic | 2016-07-11 ~ 2020-06-30 |
| Scadd Outpatient | 321 Main St, Norwich, CT 06360-5840 | Psychiatric Outpatient Clinic | 2016-07-11 ~ 2020-06-30 |
| Scadd Lebanon Pines | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SCADD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).