PHILLIPA ELAINE BLAKE (Credential# 1280515) is licensed (Master's Level Social Worker) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PHILLIPA ELAINE BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MSW.001457. The credential type is master's level social worker. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 121 Lexington Ave Unit 12, New Haven, CT 06513-4437. The current status is active.
| Licensee Name | PHILLIPA ELAINE BLAKE |
| Credential ID | 1280515 |
| Credential Number | MSW.001457 |
| Credential Type | Master's Level Social Worker |
| Business Address |
121 Lexington Ave Unit 12 New Haven CT 06513-4437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1412939 | 58 | Licensed Clinical Social Worker | - | PENDING |
| Street Address | 121 LEXINGTON AVE UNIT 12 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-4437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roman Groisberg | 121 Lexington Ave Unit 2, New Haven, CT 06513-4437 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | NEW HAVEN |
| Zip Code | 06513 |
| License Type | Master's Level Social Worker |
| License Type + County | Master's Level Social Worker + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Nieves | 75 Blake Rd, New Britain, CT 06053-2001 | Master's Level Social Worker | 2019-07-01 ~ 2020-06-30 |
| Lourdes M Janer | 26 Blake Rd, New Britain, CT 06053-2002 | Master's Level Social Worker | 2019-09-01 ~ 2020-08-31 |
| Covel P Rogers | 400 Blake Street, New Haven, CT 06511 | Master's Level Social Worker | 2016-05-01 ~ 2017-04-30 |
| Elaine Couvertier | 70 Webster Street, New Haven, CT 06511 | Master's Level Social Worker | ~ |
| Karen Bermudez | 60 Elaine Dr, Ansonia, CT 06401-3007 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Elaine Wilkinson | 103 Concord St, Waterbury, CT 06710-1224 | Master's Level Social Worker | 2019-08-01 ~ 2020-07-31 |
| Tricia M Falcone | 36 Elaine Dr, Monroe, CT 06468 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
| Elaine Y Peralta | 12 Race Avenue, Plainville, CT 06062 | Master's Level Social Worker | ~ |
| Elaine Rodriguez | 653 Andrews Street, Southington, CT 06489 | Master's Level Social Worker | 2018-09-01 ~ 2019-08-31 |
| Aliya Elaine Jasensky | 2 Fern Lane, Newtown, CT 06470 | Master's Level Social Worker | ~ |
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| 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).