TRACY SOUTHWORTH (Credential# 1287209) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
TRACY SOUTHWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.010815. The credential type is licensed clinical social worker. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 32 Peppermill Dr, West Haven, CT 06516-6622. The current status is active.
| Licensee Name | TRACY SOUTHWORTH |
| Credential ID | 1287209 |
| Credential Number | 58.010815 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
32 Peppermill Dr West Haven CT 06516-6622 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-22 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1271197 | MSW.001047 | Master's Level Social Worker | 2015-03-11 | 2019-01-01 - 2019-12-31 | INACTIVE |
| Street Address | 32 PEPPERMILL DR |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-6622 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Southworth | 32 Peppermill Dr, West Haven, CT 06516-6622 | Paramedic | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marie L Brunetti | 28 Peppermill Dr, West Haven, CT 06516-6622 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marta Southworth | 6 Pinecrest Dr, Plainville, CT 06062-3251 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Sarah A Vonduntz | 31 Southworth Dr, Ashford, CT 06278-1521 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Tracy E Young | Po Box 213, Dayville, CT 06241-0213 | Licensed Clinical Social Worker | 2017-08-01 ~ 2018-07-31 |
| Tracy C Ramey | 8 Marshall Ln Apt 2, Derby, CT 06418-2325 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Tracy Hughes | 14 Sycamore Way, Branford, CT 06405 | Licensed Clinical Social Worker | 2001-02-02 ~ 2002-02-28 |
| Tracy A Smith | 1 Herbert Ln, Norwich, CT 06360-1702 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Tracy E Follert | 58 Clark St, Torrington, CT 06790-4929 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Tracy S Morales | 1 Dogwood Dr, Portland, CT 06480-1503 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Tracy A Livecchi | 30 Webb Rd, Westport, CT 06880-3727 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Tracy A Gilbert | 145 Fernwood Rd, Hamden, CT 06517-2918 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
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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).