DOMINIQUE G DECILLA (Credential# 1278971) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DOMINIQUE G DECILLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.009304. The credential type is licensed clinical social worker. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 333 Atwood Ave, Waterbury, CT 06705. The current status is active.
| Licensee Name | DOMINIQUE G DECILLA |
| Credential ID | 1278971 |
| Credential Number | 58.009304 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
333 Atwood Ave Waterbury CT 06705 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-11-30 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1268516 | MSW.001512 | Master's Level Social Worker | 2015-05-01 | 2015-05-01 - 2016-05-31 | INACTIVE |
| Street Address | 333 Atwood Ave |
| City | waterbury |
| State | CT |
| Zip Code | 06705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | waterbury |
| Zip Code | 06705 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominique L Shabazz | 40 Court St, Windsor, CT 06095-2909 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Dominique C Harmon | 792 Eve Street, Augusta, GA 30904 | Licensed Clinical Social Worker | 2004-02-02 ~ 2005-02-28 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Regina A Colangelo | Po Box 226, Rye, NY 10580 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Laurie L Mcintosh | Po Box 603, Riverton, WY 82501-0080 | Licensed Clinical Social Worker | ~ |
| Ann S Matthews | Po Box 1362, Millbrook, NY 12545 | Licensed Clinical Social Worker | ~ |
| Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
| Steven Jean Paul | CT | Licensed Clinical Social Worker | ~ |
| Amy Leigh Dorsey | 40a Cos Cob Ave, Cos Cob, CT 06807-2117 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on DOMINIQUE G DECILLA.
| 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).